- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,451.40 / $31,149.10 / $54,813.30
| Facility | | $18,451.40 | $31,149.10 | $54,813.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,684.92 / $18,769.15 / $31,049.33
| Facility | | $12,684.92 | $18,769.15 | $31,049.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,784.46 / $28,235.80 / $38,742.01
| Facility | | $16,784.46 | $28,235.80 | $38,742.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,692.95 / $60,692.95 / $71,228.33
| Facility | | $60,692.95 | $60,692.95 | $71,228.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $27,146.13 / $38,775.14
| Facility | | $1,787.00 | $27,146.13 | $38,775.14 |