- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,967.00 / $44,324.70 / $72,046.20
| Facility | | $25,967.00 | $44,324.70 | $72,046.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,607.00 / $37,375.12 / $48,811.15
| Facility | | $13,607.00 | $37,375.12 | $48,811.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,266.55 / $35,218.15 / $55,560.04
| Facility | | $22,266.55 | $35,218.15 | $55,560.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,437.15 / $25,637.37 / $56,034.29
| Facility | | $11,437.15 | $25,637.37 | $56,034.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $36,783.40 / $50,596.32
| Facility | | $6,842.00 | $36,783.40 | $50,596.32 |