- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,722.20 / $31,217.30 / $51,408.10
| Facility | | $12,722.20 | $31,217.30 | $51,408.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,212.00 / $43,680.65 / $63,103.12
| Facility | | $1,212.00 | $43,680.65 | $63,103.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $41,255.73 / $65,963.57
| Facility | | $17,646.00 | $41,255.73 | $65,963.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,129.78 / $44,444.42 / $93,201.36
| Facility | | $23,129.78 | $44,444.42 | $93,201.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $44,150.93 / $65,979.85
| Facility | | $17,648.00 | $44,150.93 | $65,979.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $29,541.54 / $56,746.76
| Facility | | $5,281.00 | $29,541.54 | $56,746.76 |