- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,943.09 / $33,667.30 / $59,244.80
| Facility | | $19,943.09 | $33,667.30 | $59,244.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,413.08 / $25,413.08 / $28,823.28
| Facility | | $25,413.08 | $25,413.08 | $28,823.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,360.96 / $28,578.67 / $47,253.24
| Facility | | $19,360.96 | $28,578.67 | $47,253.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,141.41 / $30,518.55 / $41,874.16
| Facility | | $18,141.41 | $30,518.55 | $41,874.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,977.25 / $62,977.25 / $73,909.14
| Facility | | $62,977.25 | $62,977.25 | $73,909.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $29,340.79 / $41,909.96
| Facility | | $1,787.00 | $29,340.79 | $41,909.96 |