- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,361.40 / $41,584.00 / $67,591.39
| Facility | | $24,361.40 | $41,584.00 | $67,591.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,258.00 / $34,713.62 / $38,839.73
| Facility | | $11,258.00 | $34,713.62 | $38,839.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,811.93 / $33,040.51 / $52,124.60
| Facility | | $20,811.93 | $33,040.51 | $52,124.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,719.37 / $33,097.62 / $62,495.65
| Facility | | $17,719.37 | $33,097.62 | $62,495.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,209.76 / $37,599.54 / $50,053.58
| Facility | | $24,209.76 | $37,599.54 | $50,053.58 |