- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $27,202.20 / $49,438.80
| Facility | | $3,182.00 | $27,202.20 | $49,438.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,980.36 / $27,052.85 / $34,403.19
| Facility | | $26,980.36 | $27,052.85 | $34,403.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $17,165.83 / $41,395.58
| Facility | | $1,474.01 | $17,165.83 | $41,395.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,371.16 / $30,408.78 / $45,479.14
| Facility | | $21,371.16 | $30,408.78 | $45,479.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,428.33 / $33,569.40 / $70,557.00
| Facility | | $19,428.33 | $33,569.40 | $70,557.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,428.33 / $34,575.28 / $58,246.70
| Facility | | $19,428.33 | $34,575.28 | $58,246.70 |