- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,320.00 / $28,169.60 / $45,356.70
| Facility | | $12,320.00 | $28,169.60 | $45,356.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $13,291.38 / $35,286.79
| Facility | | $1,474.01 | $13,291.38 | $35,286.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,391.18 / $29,453.17 / $41,723.94
| Facility | | $20,391.18 | $29,453.17 | $41,723.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,824.14 / $24,703.18 / $51,879.73
| Facility | | $17,824.14 | $24,703.18 | $51,879.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,735.02 / $24,703.18 / $52,549.60
| Facility | | $16,735.02 | $24,703.18 | $52,549.60 |