- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,083.00 / $38,490.60 / $64,044.50
| Facility | | $23,083.00 | $38,490.60 | $64,044.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,607.00 / $13,607.00 / $31,172.40
| Facility | | $13,607.00 | $13,607.00 | $31,172.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,793.54 / $31,306.68 / $49,389.31
| Facility | | $19,793.54 | $31,306.68 | $49,389.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,551.56 / $21,392.01 / $49,810.89
| Facility | | $9,551.56 | $21,392.01 | $49,810.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,939.33 / $35,626.47 / $47,426.97
| Facility | | $22,939.33 | $35,626.47 | $47,426.97 |