- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,551.50 / $34,694.40 / $61,052.10
| Facility | | $20,551.50 | $34,694.40 | $61,052.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,600.00 / $29,263.39 / $33,047.57
| Facility | | $14,600.00 | $29,263.39 | $33,047.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,751.70 / $40,964.23 / $67,732.06
| Facility | | $27,751.70 | $40,964.23 | $67,732.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,694.84 / $31,449.55 / $43,151.58
| Facility | | $18,694.84 | $31,449.55 | $43,151.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,972.90 / $61,972.90 / $72,730.46
| Facility | | $61,972.90 | $61,972.90 | $72,730.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $30,235.86 / $43,188.47
| Facility | | $1,787.00 | $30,235.86 | $43,188.47 |