- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,507.70 / $35,139.00 / $45,550.70
| Facility | | $15,507.70 | $35,139.00 | $45,550.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,572.38 / $18,287.09 / $33,050.86
| Facility | | $13,572.38 | $18,287.09 | $33,050.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,927.31 / $11,701.48 / $19,403.95
| Facility | | $7,927.31 | $11,701.48 | $19,403.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,948.15 / $23,464.39 / $32,215.35
| Facility | | $13,948.15 | $23,464.39 | $32,215.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,407.55 / $48,407.55 / $56,810.37
| Facility | | $48,407.55 | $48,407.55 | $56,810.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $21,094.70 / $32,050.29
| Facility | | $2,520.00 | $21,094.70 | $32,050.29 |