- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,691.40 / $36,618.69 / $64,438.40
| Facility | | $21,691.40 | $36,618.69 | $64,438.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,178.91 / $33,337.85 / $38,977.21
| Facility | | $20,178.91 | $33,337.85 | $38,977.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,145.05 / $33,225.17 / $54,048.21
| Facility | | $22,145.05 | $33,225.17 | $54,048.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,731.75 / $33,193.91 / $45,544.99
| Facility | | $19,731.75 | $33,193.91 | $45,544.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,167.80 / $67,654.50 / $79,398.30
| Facility | | $32,167.80 | $67,654.50 | $79,398.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $32,333.39 / $50,414.34
| Facility | | $1,787.00 | $32,333.39 | $50,414.34 |