- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,941.10 / $33,037.90 / $57,803.80
| Facility | | $24,941.10 | $33,037.90 | $57,803.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,865.04 / $26,296.94 / $36,622.91
| Facility | | $9,865.04 | $26,296.94 | $36,622.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $28,636.12 / $58,541.92
| Facility | | $5,939.30 | $28,636.12 | $58,541.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,470.00 / $31,697.13 / $51,608.70
| Facility | | $17,470.00 | $31,697.13 | $51,608.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $34,047.15 / $52,002.80
| Facility | | $3,496.00 | $34,047.15 | $52,002.80 |