- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,414.30 / $29,398.30 / $51,732.40
| Facility | | $17,414.30 | $29,398.30 | $51,732.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,150.56 / $20,766.78 / $34,021.69
| Facility | | $14,150.56 | $20,766.78 | $34,021.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,841.05 / $26,648.74 / $36,564.44
| Facility | | $15,841.05 | $26,648.74 | $36,564.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,630.90 / $50,630.90 / $59,419.66
| Facility | | $50,630.90 | $50,630.90 | $59,419.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $25,620.32 / $36,595.69
| Facility | | $1,787.00 | $25,620.32 | $36,595.69 |