- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,135.80 / $24,383.50 / $41,169.10
| Facility | | $11,135.80 | $24,383.50 | $41,169.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,156.00 / $41,739.76 / $53,993.10
| Facility | | $24,156.00 | $41,739.76 | $53,993.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,307.71 / $34,759.07 / $51,024.37
| Facility | | $24,307.71 | $34,759.07 | $51,024.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,887.00 / $34,370.32 / $72,075.64
| Facility | | $17,887.00 | $34,370.32 | $72,075.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,307.71 / $37,844.30 / $51,305.67
| Facility | | $24,307.71 | $37,844.30 | $51,305.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,042.28 / $32,006.57 / $48,116.21
| Facility | | $7,042.28 | $32,006.57 | $48,116.21 |