- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,456.80 / $28,422.60 / $49,728.70
| Facility | | $21,456.80 | $28,422.60 | $49,728.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,988.00 / $22,784.85 / $36,712.76
| Facility | | $16,988.00 | $22,784.85 | $36,712.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $26,344.07 / $51,998.60
| Facility | | $5,939.30 | $26,344.07 | $51,998.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,180.98 / $27,269.07 / $44,399.03
| Facility | | $16,180.98 | $27,269.07 | $44,399.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $31,441.69 / $50,313.51
| Facility | | $3,496.00 | $31,441.69 | $50,313.51 |