- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,900.60 / $29,010.40 / $50,757.10
| Facility | | $21,900.60 | $29,010.40 | $50,757.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,000.00 / $23,532.75 / $36,216.43
| Facility | | $6,000.00 | $23,532.75 | $36,216.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $23,036.29 / $51,318.99
| Facility | | $5,939.30 | $23,036.29 | $51,318.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,515.62 / $27,833.03 / $45,317.25
| Facility | | $16,515.62 | $27,833.03 | $45,317.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $29,896.57 / $45,663.31
| Facility | | $3,496.00 | $29,896.57 | $45,663.31 |