- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,426.20 / $27,680.60 / $60,679.70
| Facility | | $20,426.20 | $27,680.60 | $60,679.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,040.78 / $18,040.78 / $34,565.05
| Facility | | $18,040.78 | $18,040.78 | $34,565.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,838.91 / $28,425.22 / $46,737.73
| Facility | | $19,838.91 | $28,425.22 | $46,737.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,580.81 / $31,257.73 / $42,888.38
| Facility | | $18,580.81 | $31,257.73 | $42,888.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,344.65 / $64,344.65 / $75,513.91
| Facility | | $64,344.65 | $64,344.65 | $75,513.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $30,051.44 / $42,925.04
| Facility | | $1,787.00 | $30,051.44 | $42,925.04 |