- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,021.00 / $32,441.60 / $52,235.20
| Facility | | $14,021.00 | $32,441.60 | $52,235.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $16,188.87 / $46,620.30
| Facility | | $1,474.01 | $16,188.87 | $46,620.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,579.94 / $32,128.73 / $48,051.48
| Facility | | $22,579.94 | $32,128.73 | $48,051.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,527.21 / $28,449.48 / $59,747.41
| Facility | | $20,527.21 | $28,449.48 | $59,747.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,272.91 / $28,449.48 / $60,518.87
| Facility | | $19,272.91 | $28,449.48 | $60,518.87 |