- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,608.40 / $31,787.10 / $31,787.10
| Facility | | $28,608.40 | $31,787.10 | $31,787.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,429.73 / $22,379.80 / $47,771.32
| Facility | | $13,429.73 | $22,379.80 | $47,771.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,262.27 / $16,624.77 / $35,685.53
| Facility | | $9,262.27 | $16,624.77 | $35,685.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,937.00 / $34,998.62 / $55,002.79
| Facility | | $14,937.00 | $34,998.62 | $55,002.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,965.00 / $47,489.15 / $61,316.44
| Facility | | $6,965.00 | $47,489.15 | $61,316.44 |