- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,408.70 / $34,982.00 / $61,205.20
| Facility | | $26,408.70 | $34,982.00 | $61,205.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,330.00 / $17,219.41 / $29,036.20
| Facility | | $10,330.00 | $17,219.41 | $29,036.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $30,624.47 / $62,260.77
| Facility | | $5,939.30 | $30,624.47 | $62,260.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,470.00 / $33,562.29 / $54,645.53
| Facility | | $17,470.00 | $33,562.29 | $54,645.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $36,050.58 / $55,062.82
| Facility | | $3,496.00 | $36,050.58 | $55,062.82 |