- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.62 / $22,531.40 / $38,041.40
| Facility | | $9,120.62 | $22,531.40 | $38,041.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,502.76 / $37,844.33 / $50,987.08
| Facility | | $25,502.76 | $37,844.33 | $50,987.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,101.40 / $29,964.38 / $47,909.88
| Facility | | $16,101.40 | $29,964.38 | $47,909.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,799.34 / $32,280.35 / $67,692.91
| Facility | | $16,799.34 | $32,280.35 | $67,692.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,264.82 / $12,536.44 / $13,711.63
| Facility | | $12,264.82 | $12,536.44 | $13,711.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $32,067.18 / $47,921.71
| Facility | | $17,648.00 | $32,067.18 | $47,921.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $21,653.43 / $41,215.64
| Facility | | $5,281.00 | $21,653.43 | $41,215.64 |