- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,864.70 / $28,962.80 / $50,674.00
| Facility | | $21,864.70 | $28,962.80 | $50,674.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,330.00 / $22,554.23 / $35,826.93
| Facility | | $10,330.00 | $22,554.23 | $35,826.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $24,858.97 / $49,426.94
| Facility | | $5,939.30 | $24,858.97 | $49,426.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,488.56 / $27,787.43 / $45,243.00
| Facility | | $16,488.56 | $27,787.43 | $45,243.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $32,988.08 / $45,588.49
| Facility | | $3,496.00 | $32,988.08 | $45,588.49 |