- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,100.90 / $26,964.00 / $44,414.30
| Facility | | $11,100.90 | $26,964.00 | $44,414.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,475.41 / $46,707.33 / $62,928.05
| Facility | | $31,475.41 | $46,707.33 | $62,928.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $35,643.11 / $56,989.58
| Facility | | $17,646.00 | $35,643.11 | $56,989.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,983.09 / $38,398.00 / $80,521.81
| Facility | | $19,983.09 | $38,398.00 | $80,521.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $38,144.43 / $57,003.65
| Facility | | $17,648.00 | $38,144.43 | $57,003.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $25,522.57 / $49,026.67
| Facility | | $5,281.00 | $25,522.57 | $49,026.67 |