- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,709.30 / $23,449.60 / $39,592.30
| Facility | | $10,709.30 | $23,449.60 | $39,592.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,613.00 / $32,609.00 / $49,023.55
| Facility | | $1,613.00 | $32,609.00 | $49,023.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,376.74 / $33,427.82 / $49,070.17
| Facility | | $23,376.74 | $33,427.82 | $49,070.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,201.95 / $33,053.96 / $69,315.20
| Facility | | $17,201.95 | $33,053.96 | $69,315.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,376.74 / $36,394.89 / $49,340.69
| Facility | | $23,376.74 | $36,394.89 | $49,340.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,772.57 / $30,780.73 / $45,778.10
| Facility | | $6,772.57 | $30,780.73 | $45,778.10 |