- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,872.25 / $21,616.70 / $36,497.69
| Facility | | $9,872.25 | $21,616.70 | $36,497.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,161.00 / $23,339.00 / $40,372.21
| Facility | | $1,161.00 | $23,339.00 | $40,372.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,549.53 / $30,814.99 / $45,234.68
| Facility | | $21,549.53 | $30,814.99 | $45,234.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,857.39 / $30,470.35 / $63,897.29
| Facility | | $15,857.39 | $30,470.35 | $63,897.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,223.40 / $33,163.91 / $45,484.06
| Facility | | $18,223.40 | $33,163.91 | $45,484.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,243.20 / $28,374.81 / $42,199.93
| Facility | | $6,243.20 | $28,374.81 | $42,199.93 |