- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $30,135.90 / $57,007.10
| Facility | | $3,182.00 | $30,135.90 | $57,007.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $18,183.06 / $46,043.74
| Facility | | $1,474.01 | $18,183.06 | $46,043.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,474.73 / $37,425.55 / $55,973.37
| Facility | | $25,474.73 | $37,425.55 | $55,973.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,082.00 / $32,225.38 / $69,597.52
| Facility | | $18,082.00 | $32,225.38 | $69,597.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,347.00 / $32,225.38 / $59,747.03
| Facility | | $19,347.00 | $32,225.38 | $59,747.03 |