- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,173.30 / $27,303.20 / $48,045.80
| Facility | | $16,173.30 | $27,303.20 | $48,045.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,272.12 / $13,719.45 / $22,695.74
| Facility | | $9,272.12 | $13,719.45 | $22,695.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,290.26 / $24,749.64 / $33,958.71
| Facility | | $14,290.26 | $24,749.64 | $33,958.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,491.95 / $54,491.95 / $63,950.93
| Facility | | $54,491.95 | $54,491.95 | $63,950.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $23,312.62 / $33,987.74
| Facility | | $1,787.00 | $23,312.62 | $33,987.74 |