- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,134.20 / $24,380.00 / $41,163.19
| Facility | | $11,134.20 | $24,380.00 | $41,163.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,734.28 / $41,155.76 / $53,366.35
| Facility | | $27,734.28 | $41,155.76 | $53,366.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,304.23 / $34,754.11 / $51,017.08
| Facility | | $24,304.23 | $34,754.11 | $51,017.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,884.45 / $34,365.41 / $72,065.35
| Facility | | $17,884.45 | $34,365.41 | $72,065.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,304.23 / $37,838.89 / $51,298.34
| Facility | | $24,304.23 | $37,838.89 | $51,298.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,041.28 / $32,001.99 / $48,109.33
| Facility | | $7,041.28 | $32,001.99 | $48,109.33 |