- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,821.60 / $29,007.60 / $47,769.20
| Facility | | $11,821.60 | $29,007.60 | $47,769.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,635.31 / $49,912.48 / $64,721.13
| Facility | | $33,635.31 | $49,912.48 | $64,721.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $38,335.44 / $61,294.32
| Facility | | $17,646.00 | $38,335.44 | $61,294.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,492.53 / $41,298.41 / $86,604.08
| Facility | | $21,492.53 | $41,298.41 | $86,604.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $41,025.69 / $61,309.45
| Facility | | $17,648.00 | $41,025.69 | $61,309.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $27,450.44 / $52,729.93
| Facility | | $5,281.00 | $27,450.44 | $52,729.93 |