- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,521.09 / $29,820.90 / $54,909.80
| Facility | | $20,521.09 | $29,820.90 | $54,909.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,064.63 / $20,064.63 / $20,064.63
| Facility | | $20,064.63 | $20,064.63 | $20,064.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $25,763.39 / $53,156.66
| Facility | | $5,939.30 | $25,763.39 | $53,156.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,307.00 / $30,098.26 / $49,024.80
| Facility | | $17,307.00 | $30,098.26 | $49,024.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $32,118.67 / $49,399.17
| Facility | | $3,496.00 | $32,118.67 | $49,399.17 |