- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,318.70 / $35,026.19 / $56,396.70
| Facility | | $15,318.70 | $35,026.19 | $56,396.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,891.34 / $42,891.34 / $42,891.34
| Facility | | $42,891.34 | $42,891.34 | $42,891.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $20,681.11 / $50,039.53
| Facility | | $1,474.01 | $20,681.11 | $50,039.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,354.48 / $34,688.41 / $51,879.71
| Facility | | $25,354.48 | $34,688.41 | $51,879.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,808.38 / $30,716.03 / $64,507.45
| Facility | | $20,808.38 | $30,716.03 | $64,507.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,162.60 / $36,815.00 / $55,377.38
| Facility | | $22,162.60 | $36,815.00 | $55,377.38 |