- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,503.70 / $29,549.20 / $51,998.10
| Facility | | $17,503.70 | $29,549.20 | $51,998.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,354.50 / $26,132.52 / $32,987.73
| Facility | | $23,354.50 | $26,132.52 | $32,987.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,224.63 / $31,843.48 / $53,114.06
| Facility | | $22,224.63 | $31,843.48 | $53,114.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,922.39 / $26,785.58 / $36,752.19
| Facility | | $15,922.39 | $26,785.58 | $36,752.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,984.85 / $54,984.85 / $64,529.39
| Facility | | $54,984.85 | $54,984.85 | $64,529.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $27,337.41 / $36,783.61
| Facility | | $2,520.00 | $27,337.41 | $36,783.61 |