- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,565.57 / $22,894.90 / $37,940.40
| Facility | | $9,565.57 | $22,894.90 | $37,940.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,702.11 / $38,140.16 / $49,456.04
| Facility | | $25,702.11 | $38,140.16 | $49,456.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,361.10 / $30,447.67 / $48,682.62
| Facility | | $16,361.10 | $30,447.67 | $48,682.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,070.30 / $32,801.00 / $68,784.74
| Facility | | $17,070.30 | $32,801.00 | $68,784.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,904.14 / $11,904.14 / $11,937.77
| Facility | | $11,904.14 | $11,904.14 | $11,937.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $32,584.39 / $48,694.64
| Facility | | $17,648.00 | $32,584.39 | $48,694.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $22,002.67 / $41,880.41
| Facility | | $5,281.00 | $22,002.67 | $41,880.41 |