- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $23,787.50 / $52,405.60
| Facility | | $3,182.00 | $23,787.50 | $52,405.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $17,147.31 / $44,827.57
| Facility | | $1,474.01 | $17,147.31 | $44,827.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,940.65 / $32,233.55 / $48,208.25
| Facility | | $21,940.65 | $32,233.55 | $48,208.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,335.80 / $34,823.37 / $59,942.33
| Facility | | $19,335.80 | $34,823.37 | $59,942.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,335.80 / $34,823.37 / $51,458.39
| Facility | | $19,335.80 | $34,823.37 | $51,458.39 |