- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,329.30 / $28,164.10 / $46,380.10
| Facility | | $11,329.30 | $28,164.10 | $46,380.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,307.03 / $46,457.47 / $60,241.04
| Facility | | $31,307.03 | $46,457.47 | $60,241.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $37,220.66 / $59,511.92
| Facility | | $17,646.00 | $37,220.66 | $59,511.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,867.54 / $40,097.48 / $84,085.68
| Facility | | $20,867.54 | $40,097.48 | $84,085.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,039.16 / $15,039.16 / $16,747.12
| Facility | | $15,039.16 | $15,039.16 | $16,747.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $39,832.69 / $59,526.61
| Facility | | $17,648.00 | $39,832.69 | $59,526.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $26,652.19 / $51,196.57
| Facility | | $5,281.00 | $26,652.19 | $51,196.57 |