- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,227.00 / $27,460.30 / $45,221.10
| Facility | | $11,227.00 | $27,460.30 | $45,221.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,740.00 / $47,962.40 / $62,192.47
| Facility | | $32,740.00 | $47,962.40 | $62,192.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $36,290.54 / $58,024.76
| Facility | | $17,646.00 | $36,290.54 | $58,024.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,346.07 / $39,095.47 / $81,984.44
| Facility | | $20,346.07 | $39,095.47 | $81,984.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,065.85 / $15,065.85 / $15,065.85
| Facility | | $15,065.85 | $15,065.85 | $15,065.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $38,837.30 / $58,039.08
| Facility | | $17,648.00 | $38,837.30 | $58,039.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $25,986.18 / $49,917.21
| Facility | | $5,281.00 | $25,986.18 | $49,917.21 |