- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,566.60 / $31,020.00 / $49,946.20
| Facility | | $13,566.60 | $31,020.00 | $49,946.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $40,457.19
| Facility | | $1,474.01 | $6,242.69 | $40,457.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,454.52 / $32,433.44 / $45,945.87
| Facility | | $22,454.52 | $32,433.44 | $45,945.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,428.38 / $26,539.97 / $56,182.71
| Facility | | $18,428.38 | $26,539.97 | $56,182.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,333.24 / $26,452.28 / $49,043.49
| Facility | | $17,333.24 | $26,452.28 | $49,043.49 |