- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $25,628.50 / $46,578.60
| Facility | | $3,182.00 | $25,628.50 | $46,578.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $17,302.29 / $37,988.47
| Facility | | $1,474.01 | $17,302.29 | $37,988.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,940.54 / $30,246.65 / $42,848.01
| Facility | | $20,940.54 | $30,246.65 | $42,848.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,185.87 / $25,368.70 / $53,277.40
| Facility | | $17,185.87 | $25,368.70 | $53,277.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,185.87 / $25,368.70 / $45,736.78
| Facility | | $17,185.87 | $25,368.70 | $45,736.78 |