- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,883.10 / $26,916.90 / $44,553.50
| Facility | | $10,883.10 | $26,916.90 | $44,553.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,734.75 / $47,092.18 / $61,064.06
| Facility | | $31,734.75 | $47,092.18 | $61,064.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $35,754.81 / $57,168.18
| Facility | | $17,646.00 | $35,754.81 | $57,168.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,045.72 / $38,518.33 / $80,774.17
| Facility | | $20,045.72 | $38,518.33 | $80,774.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,894.52 / $16,894.52 / $16,894.52
| Facility | | $16,894.52 | $16,894.52 | $16,894.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $38,263.97 / $57,182.30
| Facility | | $17,648.00 | $38,263.97 | $57,182.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $25,602.56 / $49,180.32
| Facility | | $5,281.00 | $25,602.56 | $49,180.32 |