- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,896.50 / $30,212.30 / $53,164.90
| Facility | | $17,896.50 | $30,212.30 | $53,164.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,259.56 / $31,259.56 / $37,094.16
| Facility | | $31,259.56 | $31,259.56 | $37,094.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,109.91 / $20,094.00 / $32,919.50
| Facility | | $14,109.91 | $20,094.00 | $32,919.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,279.68 / $27,386.64 / $37,576.90
| Facility | | $16,279.68 | $27,386.64 | $37,576.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,740.85 / $57,740.85 / $67,763.78
| Facility | | $57,740.85 | $57,740.85 | $67,763.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $26,329.74 / $37,609.01
| Facility | | $1,787.00 | $26,329.74 | $37,609.01 |