- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $34,658.60 / $59,015.60
| Facility | | $3,182.00 | $34,658.60 | $59,015.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $22,778.59 / $56,255.23
| Facility | | $1,474.01 | $22,778.59 | $56,255.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,372.24 / $38,744.10 / $57,945.38
| Facility | | $26,372.24 | $38,744.10 | $57,945.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,241.26 / $33,471.31 / $72,049.52
| Facility | | $23,241.26 | $33,471.31 | $72,049.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,241.26 / $33,360.72 / $61,851.99
| Facility | | $23,241.26 | $33,360.72 | $61,851.99 |