- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,681.20 / $33,568.60 / $54,049.70
| Facility | | $14,681.20 | $33,568.60 | $54,049.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $13,061.03 / $43,693.44
| Facility | | $1,474.01 | $13,061.03 | $43,693.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,878.00 / $33,244.79 / $49,720.66
| Facility | | $22,878.00 | $33,244.79 | $49,720.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,942.41 / $28,625.52 / $61,822.87
| Facility | | $19,942.41 | $28,625.52 | $61,822.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,942.41 / $28,625.52 / $53,072.77
| Facility | | $19,942.41 | $28,625.52 | $53,072.77 |