- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,301.70 / $25,831.70 / $45,456.40
| Facility | | $15,301.70 | $25,831.70 | $45,456.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,140.00 / $13,350.52 / $32,121.31
| Facility | | $13,140.00 | $13,350.52 | $32,121.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,523.65 / $12,688.97 / $20,863.64
| Facility | | $8,523.65 | $12,688.97 | $20,863.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,520.10 / $23,415.80 / $32,158.75
| Facility | | $13,520.10 | $23,415.80 | $32,158.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,026.70 / $50,026.70 / $58,710.58
| Facility | | $50,026.70 | $50,026.70 | $58,710.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $22,512.15 / $32,156.02
| Facility | | $1,787.00 | $22,512.15 | $32,156.02 |