- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,762.60 / $24,921.80 / $43,855.10
| Facility | | $14,762.60 | $24,921.80 | $43,855.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,150.46 / $32,150.46 / $32,150.46
| Facility | | $32,150.46 | $32,150.46 | $32,150.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,006.83 / $28,055.94 / $46,523.70
| Facility | | $19,006.83 | $28,055.94 | $46,523.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,428.93 / $22,590.94 / $31,198.02
| Facility | | $13,428.93 | $22,590.94 | $31,198.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,425.15 / $49,425.15 / $58,004.61
| Facility | | $49,425.15 | $49,425.15 | $58,004.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $21,719.12 / $31,023.27
| Facility | | $1,787.00 | $21,719.12 | $31,023.27 |