- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $20,892.96 / $47,863.01
| Facility | | $14,454.40 | $20,892.96 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,197.01 / $22,387.21 / $32,359.37
| Facility | | $18,197.01 | $22,387.21 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $14,454.40 / $28,840.32
| Facility | | $7,079.46 | $14,454.40 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $21,379.62 / $29,512.09
| Facility | | $10,000.00 | $21,379.62 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $32,359.37 / $48,977.88
| Facility | | $6,918.31 | $32,359.37 | $48,977.88 |