- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,365.00 / $32,948.40 / $54,470.40
| Facility | | $13,365.00 | $32,948.40 | $54,470.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,335.32 / $49,467.32 / $64,143.89
| Facility | | $33,335.32 | $49,467.32 | $64,143.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $43,713.25 / $69,892.88
| Facility | | $17,646.00 | $43,713.25 | $69,892.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,507.57 / $47,091.88 / $98,753.17
| Facility | | $24,507.57 | $47,091.88 | $98,753.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $46,780.90 / $69,910.13
| Facility | | $17,648.00 | $46,780.90 | $69,910.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $31,301.27 / $60,127.05
| Facility | | $5,281.00 | $31,301.27 | $60,127.05 |