- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,502.09 / $32,059.60 / $45,392.90
| Facility | | $17,502.09 | $32,059.60 | $45,392.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,844.82 / $32,055.54 / $50,000.00
| Facility | | $19,844.82 | $32,055.54 | $50,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,196.86 / $27,587.54 / $51,309.63
| Facility | | $18,196.86 | $27,587.54 | $51,309.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $27,209.82 / $60,673.74
| Facility | | $7,117.00 | $27,209.82 | $60,673.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $26,617.04 / $53,917.85
| Facility | | $3,308.00 | $26,617.04 | $53,917.85 |