- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,984.10 / $40,939.90 / $66,544.60
| Facility | | $23,984.10 | $40,939.90 | $66,544.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,339.00 / $41,362.74 / $47,437.81
| Facility | | $11,339.00 | $41,362.74 | $47,437.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,566.22 / $32,528.81 / $51,317.34
| Facility | | $20,566.22 | $32,528.81 | $51,317.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,653.32 / $20,890.33 / $51,755.38
| Facility | | $8,653.32 | $20,890.33 | $51,755.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,834.82 / $37,017.23 / $49,278.39
| Facility | | $23,834.82 | $37,017.23 | $49,278.39 |