- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,702.60 / $27,814.10 / $46,961.30
| Facility | | $12,702.60 | $27,814.10 | $46,961.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,594.14 / $45,159.32 / $58,557.74
| Facility | | $29,594.14 | $45,159.32 | $58,557.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,727.63 / $39,649.44 / $58,203.15
| Facility | | $27,727.63 | $39,649.44 | $58,203.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,403.59 / $39,205.99 / $82,216.20
| Facility | | $20,403.59 | $39,205.99 | $82,216.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,727.63 / $43,168.73 / $58,524.02
| Facility | | $27,727.63 | $43,168.73 | $58,524.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,033.08 / $36,509.67 / $54,885.83
| Facility | | $8,033.08 | $36,509.67 | $54,885.83 |