- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,596.00 / $32,231.70 / $45,636.60
| Facility | | $17,596.00 | $32,231.70 | $45,636.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,870.41 / $27,361.04 / $44,005.78
| Facility | | $16,870.41 | $27,361.04 | $44,005.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,294.54 / $28,994.07 / $51,585.06
| Facility | | $18,294.54 | $28,994.07 | $51,585.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $26,759.92 / $60,999.43
| Facility | | $7,117.00 | $26,759.92 | $60,999.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $27,355.88 / $54,207.28
| Facility | | $3,308.00 | $27,355.88 | $54,207.28 |