- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,834.09 / $32,667.70 / $46,254.00
| Facility | | $17,834.09 | $32,667.70 | $46,254.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,874.73 / $31,553.42 / $50,000.00
| Facility | | $19,874.73 | $31,553.42 | $50,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,542.04 / $29,386.32 / $52,282.93
| Facility | | $18,542.04 | $29,386.32 | $52,282.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $27,725.97 / $61,824.67
| Facility | | $7,117.00 | $27,725.97 | $61,824.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $27,121.95 / $54,940.63
| Facility | | $3,308.00 | $27,121.95 | $54,940.63 |