- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,360.20 / $36,461.00 / $59,264.40
| Facility | | $21,360.20 | $36,461.00 | $59,264.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,754.91 / $39,754.91 / $39,754.91
| Facility | | $39,754.91 | $39,754.91 | $39,754.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,316.22 / $28,970.06 / $45,703.08
| Facility | | $18,316.22 | $28,970.06 | $45,703.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,284.69 / $20,554.84 / $46,093.19
| Facility | | $9,284.69 | $20,554.84 | $46,093.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $30,257.62 / $41,619.98
| Facility | | $6,842.00 | $30,257.62 | $41,619.98 |