- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,710.80 / $38,413.10 / $53,849.80
| Facility | | $24,710.80 | $38,413.10 | $53,849.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,730.92 / $28,975.42 / $40,949.57
| Facility | | $26,730.92 | $28,975.42 | $40,949.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,854.18 / $35,018.22 / $53,053.35
| Facility | | $21,854.18 | $35,018.22 | $53,053.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,516.00 / $32,558.35 / $54,275.83
| Facility | | $7,516.00 | $32,558.35 | $54,275.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,516.00 / $32,558.35 / $49,479.35
| Facility | | $7,516.00 | $32,558.35 | $49,479.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,403.00 / $41,161.44 / $57,912.36
| Facility | | $10,403.00 | $41,161.44 | $57,912.36 |