- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,261.10 / $25,780.10 / $43,963.70
| Facility | | $11,261.10 | $25,780.10 | $43,963.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,730.02 / $48,593.73 / $86,122.00
| Facility | | $29,730.02 | $48,593.73 | $86,122.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,957.75 / $37,118.57 / $54,487.98
| Facility | | $25,957.75 | $37,118.57 | $54,487.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,717.24 / $36,751.25 / $72,384.61
| Facility | | $20,717.24 | $36,751.25 | $72,384.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,957.75 / $40,413.22 / $54,788.37
| Facility | | $25,957.75 | $40,413.22 | $54,788.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,520.32 / $34,179.22 / $55,833.00
| Facility | | $7,520.32 | $34,179.22 | $55,833.00 |