- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,962.60 / $26,193.70 / $44,225.50
| Facility | | $11,962.60 | $26,193.70 | $44,225.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,027.81 / $41,529.12 / $55,951.52
| Facility | | $28,027.81 | $41,529.12 | $55,951.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,112.33 / $37,339.62 / $54,812.46
| Facility | | $26,112.33 | $37,339.62 | $54,812.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,214.96 / $36,922.00 / $77,426.60
| Facility | | $19,214.96 | $36,922.00 | $77,426.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,112.33 / $40,653.89 / $55,114.64
| Facility | | $26,112.33 | $40,653.89 | $55,114.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,096.93 / $34,382.76 / $51,688.40
| Facility | | $7,096.93 | $34,382.76 | $51,688.40 |