- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,796.40 / $34,987.50 / $59,118.80
| Facility | | $20,796.40 | $34,987.50 | $59,118.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,687.00 / $17,009.00 / $33,749.72
| Facility | | $9,687.00 | $17,009.00 | $33,749.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,885.30 / $31,928.35 / $77,985.03
| Facility | | $21,885.30 | $31,928.35 | $77,985.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,556.18 / $13,700.92 / $45,979.89
| Facility | | $4,556.18 | $13,700.92 | $45,979.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $30,183.25 / $41,517.67
| Facility | | $6,842.00 | $30,183.25 | $41,517.67 |