- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,343.30 / $29,278.30 / $51,521.40
| Facility | | $17,343.30 | $29,278.30 | $51,521.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,297.53 / $7,755.81 / $12,736.67
| Facility | | $5,297.53 | $7,755.81 | $12,736.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,893.38 / $30,331.30 / $39,055.07
| Facility | | $17,893.38 | $30,331.30 | $39,055.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,607.25 / $47,607.25 / $55,871.15
| Facility | | $47,607.25 | $47,607.25 | $55,871.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $24,999.06 / $36,446.42
| Facility | | $1,787.00 | $24,999.06 | $36,446.42 |