- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,491.20 / $28,196.90 / $46,434.10
| Facility | | $11,491.20 | $28,196.90 | $46,434.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,367.50 / $46,477.57 / $62,618.50
| Facility | | $31,367.50 | $46,477.57 | $62,618.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $37,263.98 / $59,581.17
| Facility | | $17,646.00 | $37,263.98 | $59,581.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,886.91 / $40,144.14 / $84,183.53
| Facility | | $20,886.91 | $40,144.14 | $84,183.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $39,879.04 / $59,595.88
| Facility | | $17,648.00 | $39,879.04 | $59,595.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,660.00 / $25,163.03 / $51,256.15
| Facility | | $4,660.00 | $25,163.03 | $51,256.15 |