- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,130.70 / $27,042.80 / $44,533.70
| Facility | | $11,130.70 | $27,042.80 | $44,533.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,613.00 / $34,950.69 / $53,504.16
| Facility | | $1,613.00 | $34,950.69 | $53,504.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $35,738.86 / $57,142.67
| Facility | | $17,646.00 | $35,738.86 | $57,142.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,036.77 / $38,501.14 / $80,738.12
| Facility | | $20,036.77 | $38,501.14 | $80,738.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $38,246.89 / $57,156.77
| Facility | | $17,648.00 | $38,246.89 | $57,156.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $25,591.13 / $49,158.37
| Facility | | $5,281.00 | $25,591.13 | $49,158.37 |