- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,354.00 / $23,749.10 / $40,397.60
| Facility | | $10,354.00 | $23,749.10 | $40,397.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,589.58 / $35,644.39 / $46,334.00
| Facility | | $23,589.58 | $35,644.39 | $46,334.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,420.73 / $32,419.61 / $51,835.55
| Facility | | $17,420.73 | $32,419.61 | $51,835.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,175.86 / $34,925.35 / $73,239.57
| Facility | | $18,175.86 | $34,925.35 | $73,239.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $34,694.72 / $51,848.34
| Facility | | $17,648.00 | $34,694.72 | $51,848.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $23,415.00 / $44,592.79
| Facility | | $5,281.00 | $23,415.00 | $44,592.79 |