- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,770.00 / $32,550.30 / $46,087.70
| Facility | | $17,770.00 | $32,550.30 | $46,087.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,927.27 / $31,954.22 / $50,000.00
| Facility | | $19,927.27 | $31,954.22 | $50,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,475.38 / $29,280.68 / $52,094.97
| Facility | | $18,475.38 | $29,280.68 | $52,094.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $27,654.62 / $61,602.40
| Facility | | $7,117.00 | $27,654.62 | $61,602.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $27,024.44 / $54,743.11
| Facility | | $3,308.00 | $27,024.44 | $54,743.11 |