- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,448.20 / $27,767.40 / $48,862.50
| Facility | | $16,448.20 | $27,767.40 | $48,862.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,964.00 / $22,628.00 / $29,493.85
| Facility | | $9,964.00 | $22,628.00 | $29,493.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,919.91 / $14,324.63 / $23,369.93
| Facility | | $9,919.91 | $14,324.63 | $23,369.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,962.26 / $25,170.38 / $34,536.01
| Facility | | $14,962.26 | $25,170.38 | $34,536.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,916.15 / $51,916.15 / $60,928.01
| Facility | | $51,916.15 | $51,916.15 | $60,928.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $24,199.02 / $34,565.53
| Facility | | $1,787.00 | $24,199.02 | $34,565.53 |