- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,208.09 / $26,768.40 / $46,834.60
| Facility | | $20,208.09 | $26,768.40 | $46,834.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,278.26 / $21,087.40 / $45,726.88
| Facility | | $8,278.26 | $21,087.40 | $45,726.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $22,387.70 / $45,515.09
| Facility | | $5,939.30 | $22,387.70 | $45,515.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,930.00 / $25,682.09 / $41,815.12
| Facility | | $15,930.00 | $25,682.09 | $41,815.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $27,586.16 / $47,385.41
| Facility | | $3,496.00 | $27,586.16 | $47,385.41 |