- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,800.40 / $30,050.00 / $52,879.40
| Facility | | $17,800.40 | $30,050.00 | $52,879.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,394.05 / $19,939.43 / $32,785.11
| Facility | | $13,394.05 | $19,939.43 | $32,785.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,192.26 / $27,239.57 / $37,375.11
| Facility | | $16,192.26 | $27,239.57 | $37,375.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,724.20 / $55,724.20 / $65,397.08
| Facility | | $55,724.20 | $55,724.20 | $65,397.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $26,188.35 / $37,407.06
| Facility | | $1,787.00 | $26,188.35 | $37,407.06 |