- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,365.10 / $30,559.40 / $49,204.50
| Facility | | $13,365.10 | $30,559.40 | $49,204.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $17,039.18 / $43,930.73
| Facility | | $1,474.01 | $17,039.18 | $43,930.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,121.08 / $31,951.82 / $45,263.59
| Facility | | $22,121.08 | $31,951.82 | $45,263.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,336.25 / $32,696.30 / $56,280.94
| Facility | | $19,336.25 | $32,696.30 | $56,280.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,336.25 / $33,775.00 / $49,893.00
| Facility | | $19,336.25 | $33,775.00 | $49,893.00 |