- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,074.80 / $36,366.90 / $55,996.40
| Facility | | $19,074.80 | $36,366.90 | $55,996.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $675.00 / $1,440.00 / $8,275.00
| Facility | | $675.00 | $1,440.00 | $8,275.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,163.13 / $38,239.26 / $66,508.77
| Facility | | $22,163.13 | $38,239.26 | $66,508.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,799.80 / $33,743.67 / $72,082.25
| Facility | | $21,799.80 | $33,743.67 | $72,082.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,626.56 / $31,496.00 / $63,673.00
| Facility | | $11,626.56 | $31,496.00 | $63,673.00 |