- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,234.40 / $43,074.20 / $70,013.60
| Facility | | $25,234.40 | $43,074.20 | $70,013.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,824.80 / $28,845.00 / $34,902.58
| Facility | | $15,824.80 | $28,845.00 | $34,902.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,638.35 / $34,224.55 / $53,992.54
| Facility | | $21,638.35 | $34,224.55 | $53,992.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,581.41 / $33,690.44 / $63,606.83
| Facility | | $17,581.41 | $33,690.44 | $63,606.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,077.34 / $38,946.96 / $51,847.30
| Facility | | $25,077.34 | $38,946.96 | $51,847.30 |