- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,223.75 / $20,196.70 / $34,100.19
| Facility | | $9,223.75 | $20,196.70 | $34,100.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,927.95 / $36,991.36 / $47,966.40
| Facility | | $24,927.95 | $36,991.36 | $47,966.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,849.00 / $26,173.45 / $42,263.27
| Facility | | $18,849.00 | $26,173.45 | $42,263.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,815.74 / $28,468.79 / $59,699.96
| Facility | | $14,815.74 | $28,468.79 | $59,699.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,133.97 / $28,280.79 / $42,496.27
| Facility | | $20,133.97 | $28,280.79 | $42,496.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $26,510.90 / $39,854.46
| Facility | | $5,281.00 | $26,510.90 | $39,854.46 |