- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,553.50 / $27,945.10 / $49,175.30
| Facility | | $16,553.50 | $27,945.10 | $49,175.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,527.00 / $3,527.00 / $3,527.00
| Facility | | $3,527.00 | $3,527.00 | $3,527.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,667.47 / $19,582.77 / $32,198.67
| Facility | | $13,667.47 | $19,582.77 | $32,198.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,058.04 / $25,331.52 / $34,757.10
| Facility | | $15,058.04 | $25,331.52 | $34,757.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,638.04 / $51,818.10 / $60,812.94
| Facility | | $24,638.04 | $51,818.10 | $60,812.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $22,773.26 / $34,600.61
| Facility | | $2,520.00 | $22,773.26 | $34,600.61 |