- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,354.00 / $24,100.60 / $39,891.90
| Facility | | $10,354.00 | $24,100.60 | $39,891.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,740.94 / $40,358.33 / $51,696.54
| Facility | | $26,740.94 | $40,358.33 | $51,696.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,202.68 / $32,013.83 / $51,186.74
| Facility | | $17,202.68 | $32,013.83 | $51,186.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,948.36 / $34,488.19 / $72,322.85
| Facility | | $17,948.36 | $34,488.19 | $72,322.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,579.53 / $13,579.53 / $13,654.80
| Facility | | $13,579.53 | $13,579.53 | $13,654.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $34,260.44 / $51,199.37
| Facility | | $17,648.00 | $34,260.44 | $51,199.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $23,134.44 / $44,034.64
| Facility | | $5,281.00 | $23,134.44 | $44,034.64 |