- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,130.80 / $27,670.70 / $45,567.70
| Facility | | $11,130.80 | $27,670.70 | $45,567.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,767.65 / $47,141.00 / $61,127.37
| Facility | | $31,767.65 | $47,141.00 | $61,127.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $36,568.67 / $58,469.45
| Facility | | $17,646.00 | $36,568.67 | $58,469.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,502.00 / $39,395.08 / $82,612.75
| Facility | | $20,502.00 | $39,395.08 | $82,612.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,180.49 / $14,638.57 / $15,522.48
| Facility | | $11,180.49 | $14,638.57 | $15,522.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $39,134.94 / $58,483.88
| Facility | | $17,648.00 | $39,134.94 | $58,483.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $26,185.33 / $50,299.76
| Facility | | $5,281.00 | $26,185.33 | $50,299.76 |