- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,276.70 / $25,416.90 / $42,070.80
| Facility | | $10,276.70 | $25,416.90 | $42,070.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,732.58 / $42,933.31 / $55,187.31
| Facility | | $27,732.58 | $42,933.31 | $55,187.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $33,762.36 / $53,982.45
| Facility | | $17,646.00 | $33,762.36 | $53,982.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,928.66 / $36,371.87 / $76,272.98
| Facility | | $18,928.66 | $36,371.87 | $76,272.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,614.52 / $13,605.94 / $21,302.92
| Facility | | $9,614.52 | $13,605.94 | $21,302.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $36,131.69 / $53,995.78
| Facility | | $17,648.00 | $36,131.69 | $53,995.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $24,175.84 / $46,439.72
| Facility | | $5,281.00 | $24,175.84 | $46,439.72 |