- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,872.70 / $31,720.00 / $51,073.30
| Facility | | $13,872.70 | $31,720.00 | $51,073.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $21,985.88 / $43,545.75
| Facility | | $1,474.01 | $21,985.88 | $43,545.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,961.20 / $33,165.31 / $46,982.64
| Facility | | $22,961.20 | $33,165.31 | $46,982.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,070.61 / $27,816.66 / $58,418.41
| Facility | | $20,070.61 | $27,816.66 | $58,418.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,844.22 / $27,816.66 / $59,172.71
| Facility | | $18,844.22 | $27,816.66 | $59,172.71 |