- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,354.00 / $22,893.50 / $61,682.90
| Facility | | $10,354.00 | $22,893.50 | $61,682.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,593.12 / $36,494.50 / $47,322.13
| Facility | | $24,593.12 | $36,494.50 | $47,322.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,025.45 / $29,823.04 / $47,683.89
| Facility | | $16,025.45 | $29,823.04 | $47,683.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,720.09 / $32,128.08 / $67,373.61
| Facility | | $16,720.09 | $32,128.08 | $67,373.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $31,915.92 / $47,695.66
| Facility | | $17,648.00 | $31,915.92 | $47,695.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $21,551.29 / $41,021.23
| Facility | | $5,281.00 | $21,551.29 | $41,021.23 |