- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,410.50 / $33,723.50 / $47,748.90
| Facility | | $18,410.50 | $33,723.50 | $47,748.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,767.87 / $31,946.21 / $50,000.00
| Facility | | $19,767.87 | $31,946.21 | $50,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,141.32 / $30,336.09 / $53,972.72
| Facility | | $19,141.32 | $30,336.09 | $53,972.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $28,622.07 / $63,822.85
| Facility | | $7,117.00 | $28,622.07 | $63,822.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $27,998.53 / $56,716.31
| Facility | | $3,308.00 | $27,998.53 | $56,716.31 |