- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,426.10 / $38,280.50 / $62,221.90
| Facility | | $22,426.10 | $38,280.50 | $62,221.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,510.00 / $32,749.96 / $36,451.36
| Facility | | $13,510.00 | $32,749.96 | $36,451.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,230.25 / $30,415.75 / $47,983.79
| Facility | | $19,230.25 | $30,415.75 | $47,983.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,784.29 / $24,760.55 / $48,393.37
| Facility | | $11,784.29 | $24,760.55 | $48,393.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $31,767.56 / $43,696.93
| Facility | | $6,842.00 | $31,767.56 | $43,696.93 |