- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,997.00 / $27,005.50 / $47,521.90
| Facility | | $15,997.00 | $27,005.50 | $47,521.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,204.00 / $27,827.97 / $39,254.58
| Facility | | $6,204.00 | $27,827.97 | $39,254.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,270.45 / $21,070.61 / $34,309.96
| Facility | | $14,270.45 | $21,070.61 | $34,309.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,551.75 / $24,479.80 / $33,588.47
| Facility | | $14,551.75 | $24,479.80 | $33,588.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,396.00 / $49,396.00 / $57,970.40
| Facility | | $49,396.00 | $49,396.00 | $57,970.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $23,058.45 / $33,617.18
| Facility | | $1,787.00 | $23,058.45 | $33,617.18 |