- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,106.12 / $41,188.16 / $41,188.16
| Facility | | $36,106.12 | $41,188.16 | $41,188.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,312.06 / $24,593.45 / $43,870.00
| Facility | | $14,312.06 | $24,593.45 | $43,870.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,796.19 / $37,288.73 / $53,649.00
| Facility | | $22,796.19 | $37,288.73 | $53,649.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,081.49 / $26,131.03 / $38,389.49
| Facility | | $17,081.49 | $26,131.03 | $38,389.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,281.51 / $21,281.51 / $37,035.68
| Facility | | $21,281.51 | $21,281.51 | $37,035.68 |