- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,252.00 / $32,587.20 / $52,469.50
| Facility | | $14,252.00 | $32,587.20 | $52,469.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,715.34 / $43,386.54
| Facility | | $1,474.01 | $7,715.34 | $43,386.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,588.91 / $34,071.96 / $48,267.03
| Facility | | $23,588.91 | $34,071.96 | $48,267.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,619.30 / $28,577.10 / $60,015.43
| Facility | | $20,619.30 | $28,577.10 | $60,015.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,897.71 / $27,788.63 / $51,521.14
| Facility | | $18,897.71 | $27,788.63 | $51,521.14 |