- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,777.40 / $33,788.69 / $54,404.00
| Facility | | $14,777.40 | $33,788.69 | $54,404.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $17,649.24 / $47,819.58
| Facility | | $1,474.01 | $17,649.24 | $47,819.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,458.64 / $35,328.21 / $50,046.65
| Facility | | $24,458.64 | $35,328.21 | $50,046.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.53 / $29,630.74 / $62,228.21
| Facility | | $21,379.53 | $29,630.74 | $62,228.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,073.16 / $29,630.74 / $63,031.70
| Facility | | $20,073.16 | $29,630.74 | $63,031.70 |