- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $26,302.68 / $48,977.88
| Facility | | $10,000.00 | $26,302.68 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $41,686.94 / $51,286.14
| Facility | | $27,542.29 | $41,686.94 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $34,673.69 / $44,668.36
| Facility | | $22,387.21 | $34,673.69 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $30,902.95 / $77,624.71
| Facility | | $17,378.01 | $30,902.95 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $27,542.29 / $43,651.58
| Facility | | $9,120.11 | $27,542.29 | $43,651.58 |