- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,734.60 / $34,340.30 / $56,954.40
| Facility | | $26,734.60 | $34,340.30 | $56,954.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,496.00 / $16,496.00 / $32,630.57
| Facility | | $16,496.00 | $16,496.00 | $32,630.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,935.93 / $31,363.27 / $53,130.03
| Facility | | $20,935.93 | $31,363.27 | $53,130.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,569.82 / $36,590.23 / $52,612.28
| Facility | | $29,569.82 | $36,590.23 | $52,612.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,678.95 / $35,149.08 / $93,617.22
| Facility | | $17,678.95 | $35,149.08 | $93,617.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,678.95 / $35,072.62 / $49,292.84
| Facility | | $17,678.95 | $35,072.62 | $49,292.84 |