- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,786.60 / $36,807.19 / $64,398.70
| Facility | | $27,786.60 | $36,807.19 | $64,398.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,110.00 / $27,679.09 / $41,677.78
| Facility | | $17,110.00 | $27,679.09 | $41,677.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $29,112.20 / $68,072.83
| Facility | | $5,939.30 | $29,112.20 | $68,072.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,470.00 / $35,313.44 / $57,496.73
| Facility | | $17,470.00 | $35,313.44 | $57,496.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $37,931.58 / $57,935.79
| Facility | | $3,496.00 | $37,931.58 | $57,935.79 |