- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,873.09 / $30,172.80 / $53,095.40
| Facility | | $17,873.09 | $30,172.80 | $53,095.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,773.13 / $14,773.13 / $35,526.08
| Facility | | $14,773.13 | $14,773.13 | $35,526.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,215.68 / $27,365.16 / $44,831.65
| Facility | | $19,215.68 | $27,365.16 | $44,831.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,258.40 / $27,350.83 / $37,527.76
| Facility | | $16,258.40 | $27,350.83 | $37,527.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,952.10 / $55,952.10 / $65,664.53
| Facility | | $55,952.10 | $55,952.10 | $65,664.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $26,295.32 / $37,559.85
| Facility | | $1,787.00 | $26,295.32 | $37,559.85 |