- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,053.70 / $29,847.40 / $48,058.10
| Facility | | $13,053.70 | $29,847.40 | $48,058.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,559.43 / $27,559.43 / $27,559.43
| Facility | | $27,559.43 | $27,559.43 | $27,559.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $14,181.99 / $42,306.81
| Facility | | $1,474.01 | $14,181.99 | $42,306.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,605.68 / $31,207.38 / $44,209.00
| Facility | | $21,605.68 | $31,207.38 | $44,209.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,885.74 / $26,174.49 / $54,969.66
| Facility | | $18,885.74 | $26,174.49 | $54,969.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,193.59 / $31,807.95 / $47,189.53
| Facility | | $20,193.59 | $31,807.95 | $47,189.53 |