- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,646.80 / $38,063.00 / $61,286.40
| Facility | | $16,646.80 | $38,063.00 | $61,286.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $20,366.18 / $55,026.68
| Facility | | $1,474.01 | $20,366.18 | $55,026.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,552.75 / $37,695.93 / $56,377.75
| Facility | | $27,552.75 | $37,695.93 | $56,377.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,084.13 / $33,379.15 / $70,100.32
| Facility | | $24,084.13 | $33,379.15 | $70,100.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,612.50 / $33,379.15 / $71,005.45
| Facility | | $22,612.50 | $33,379.15 | $71,005.45 |