- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,648.30 / $40,366.80 / $65,613.00
| Facility | | $23,648.30 | $40,366.80 | $65,613.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,177.00 / $24,611.15 / $36,917.37
| Facility | | $11,177.00 | $24,611.15 | $36,917.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,202.75 / $32,073.41 / $50,598.90
| Facility | | $20,202.75 | $32,073.41 | $50,598.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,055.01 / $21,384.61 / $51,030.81
| Facility | | $9,055.01 | $21,384.61 | $51,030.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,047.00 / $33,498.89 / $46,078.41
| Facility | | $7,047.00 | $33,498.89 | $46,078.41 |