- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.30 / $32,387.60 / $54,683.30
| Facility | | $14,791.30 | $32,387.60 | $54,683.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,368.83 / $51,000.97 / $66,132.56
| Facility | | $34,368.83 | $51,000.97 | $66,132.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,286.96 / $46,043.09 / $67,773.64
| Facility | | $32,286.96 | $46,043.09 | $67,773.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,758.60 / $45,652.73 / $95,735.21
| Facility | | $23,758.60 | $45,652.73 | $95,735.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,286.96 / $49,688.40 / $68,147.27
| Facility | | $32,286.96 | $49,688.40 | $68,147.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $41,421.87 / $63,544.00
| Facility | | $9,114.00 | $41,421.87 | $63,544.00 |