- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,033.40 / $33,819.69 / $59,512.90
| Facility | | $20,033.40 | $33,819.69 | $59,512.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,680.00 / $30,001.48 / $47,765.27
| Facility | | $11,680.00 | $30,001.48 | $47,765.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,301.75 / $25,539.08 / $41,940.51
| Facility | | $17,301.75 | $25,539.08 | $41,940.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,223.50 / $30,656.66 / $42,063.67
| Facility | | $18,223.50 | $30,656.66 | $42,063.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,638.05 / $62,638.05 / $73,511.07
| Facility | | $62,638.05 | $62,638.05 | $73,511.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $29,473.57 / $42,099.63
| Facility | | $1,787.00 | $29,473.57 | $42,099.63 |