- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,069.10 / $29,614.80 / $48,769.10
| Facility | | $12,069.10 | $29,614.80 | $48,769.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,692.17 / $47,029.00 / $60,982.13
| Facility | | $31,692.17 | $47,029.00 | $60,982.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,818.84 / $42,639.78 / $62,592.81
| Facility | | $29,818.84 | $42,639.78 | $62,592.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,942.42 / $42,162.89 / $88,416.92
| Facility | | $21,942.42 | $42,162.89 | $88,416.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,818.84 / $46,424.50 / $62,937.89
| Facility | | $29,818.84 | $46,424.50 | $62,937.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $28,025.04 / $53,833.70
| Facility | | $5,281.00 | $28,025.04 | $53,833.70 |