- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,483.00 / $32,838.90 / $66,751.80
| Facility | | $17,483.00 | $32,838.90 | $66,751.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,301.04 / $35,084.44 / $38,908.05
| Facility | | $34,301.04 | $35,084.44 | $38,908.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,539.02 / $30,760.18 / $35,166.83
| Facility | | $24,539.02 | $30,760.18 | $35,166.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,342.04 / $36,007.54 / $46,829.36
| Facility | | $20,342.04 | $36,007.54 | $46,829.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,446.19 / $41,196.91 / $44,744.26
| Facility | | $39,446.19 | $41,196.91 | $44,744.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $31,242.10 / $45,997.18
| Facility | | $1,518.00 | $31,242.10 | $45,997.18 |