- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,768.30 / $28,307.70 / $49,813.40
| Facility | | $16,768.30 | $28,307.70 | $49,813.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,418.22 / $18,330.52 / $30,102.55
| Facility | | $12,418.22 | $18,330.52 | $30,102.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,816.00 / $25,660.19 / $35,208.06
| Facility | | $14,816.00 | $25,660.19 | $35,208.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,963.10 / $49,963.10 / $58,635.94
| Facility | | $49,963.10 | $49,963.10 | $58,635.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $22,601.00 / $35,049.54
| Facility | | $2,520.00 | $22,601.00 | $35,049.54 |