- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,032.80 / $28,537.10 / $48,182.10
| Facility | | $13,032.80 | $28,537.10 | $48,182.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,525.01 / $47,634.99 / $61,808.00
| Facility | | $31,525.01 | $47,634.99 | $61,808.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,448.44 / $40,680.16 / $59,716.20
| Facility | | $28,448.44 | $40,680.16 | $59,716.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,934.00 / $40,225.19 / $84,353.49
| Facility | | $20,934.00 | $40,225.19 | $84,353.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,448.44 / $44,290.95 / $60,045.41
| Facility | | $28,448.44 | $44,290.95 | $60,045.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,241.91 / $36,497.33 / $56,312.64
| Facility | | $8,241.91 | $36,497.33 | $56,312.64 |