- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,083.00 / $30,867.00 / $50,171.80
| Facility | | $18,083.00 | $30,867.00 | $50,171.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,258.00 / $20,266.00 / $32,362.15
| Facility | | $11,258.00 | $20,266.00 | $32,362.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,506.07 / $24,525.36 / $38,691.12
| Facility | | $15,506.07 | $24,525.36 | $38,691.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,865.22 / $23,044.85 / $42,298.42
| Facility | | $12,865.22 | $23,044.85 | $42,298.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $25,615.38 / $35,234.47
| Facility | | $6,842.00 | $25,615.38 | $35,234.47 |