- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,222.20 / $33,410.19 / $58,455.30
| Facility | | $25,222.20 | $33,410.19 | $58,455.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,543.00 / $26,989.63 / $44,031.00
| Facility | | $13,543.00 | $26,989.63 | $44,031.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $29,403.21 / $57,421.92
| Facility | | $5,939.30 | $29,403.21 | $57,421.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,020.47 / $32,054.35 / $52,190.33
| Facility | | $19,020.47 | $32,054.35 | $52,190.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $34,430.85 / $59,142.71
| Facility | | $3,496.00 | $34,430.85 | $59,142.71 |