- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,636.50 / $31,180.00 / $50,203.80
| Facility | | $13,636.50 | $31,180.00 | $50,203.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $41,911.06
| Facility | | $1,474.01 | $6,242.69 | $41,911.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,570.31 / $32,600.69 / $46,182.80
| Facility | | $22,570.31 | $32,600.69 | $46,182.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,728.93 / $27,343.10 / $57,423.88
| Facility | | $19,728.93 | $27,343.10 | $57,423.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,523.41 / $27,343.10 / $58,165.33
| Facility | | $18,523.41 | $27,343.10 | $58,165.33 |