- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,333.00 / $30,184.60 / $45,510.80
| Facility | | $3,333.00 | $30,184.60 | $45,510.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,245.94 / $36,376.65 / $40,695.42
| Facility | | $32,245.94 | $36,376.65 | $40,695.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,975.75 / $30,116.02 / $45,114.18
| Facility | | $18,975.75 | $30,116.02 | $45,114.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,777.28 / $30,064.84 / $54,416.00
| Facility | | $21,777.28 | $30,064.84 | $54,416.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $163.25 / $314.52 / $541.71
| Facility | | $163.25 | $314.52 | $541.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,236.00 / $32,562.53 / $52,625.71
| Facility | | $22,236.00 | $32,562.53 | $52,625.71 |