- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,870.50 / $31,581.30 / $52,007.50
| Facility | | $12,870.50 | $31,581.30 | $52,007.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,293.94 / $52,373.79 / $67,912.67
| Facility | | $35,293.94 | $52,373.79 | $67,912.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $41,736.75 / $66,732.66
| Facility | | $17,646.00 | $41,736.75 | $66,732.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,399.45 / $44,962.62 / $94,288.03
| Facility | | $23,399.45 | $44,962.62 | $94,288.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $44,665.70 / $66,749.14
| Facility | | $17,648.00 | $44,665.70 | $66,749.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $29,885.98 / $57,408.40
| Facility | | $5,281.00 | $29,885.98 | $57,408.40 |