- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,575.40 / $41,352.69 / $58,550.90
| Facility | | $22,575.40 | $41,352.69 | $58,550.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,125.41 / $32,125.41 / $32,125.41
| Facility | | $32,125.41 | $32,125.41 | $32,125.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,358.54 / $38,797.11 / $60,769.30
| Facility | | $24,358.54 | $38,797.11 | $60,769.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,471.58 / $35,281.00 / $66,182.74
| Facility | | $23,471.58 | $35,281.00 | $66,182.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,896.00 / $33,755.12 / $72,242.78
| Facility | | $7,896.00 | $33,755.12 | $72,242.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $31,473.26 / $69,547.00
| Facility | | $3,308.00 | $31,473.26 | $69,547.00 |