- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,243.10 / $27,587.90 / $45,431.30
| Facility | | $11,243.10 | $27,587.90 | $45,431.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,877.77 / $47,338.41 / $60,849.72
| Facility | | $30,877.77 | $47,338.41 | $60,849.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $36,459.24 / $58,294.49
| Facility | | $17,646.00 | $36,459.24 | $58,294.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,440.65 / $39,277.21 / $82,365.55
| Facility | | $20,440.65 | $39,277.21 | $82,365.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,657.17 / $15,657.17 / $15,657.17
| Facility | | $15,657.17 | $15,657.17 | $15,657.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $39,017.83 / $58,308.88
| Facility | | $17,648.00 | $39,017.83 | $58,308.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $26,106.97 / $50,149.25
| Facility | | $5,281.00 | $26,106.97 | $50,149.25 |