- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,576.59 / $47,048.40 / $75,753.89
| Facility | | $20,576.59 | $47,048.40 | $75,753.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,102.54 / $41,102.54 / $41,102.54
| Facility | | $41,102.54 | $41,102.54 | $41,102.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $25,152.03 / $64,291.69
| Facility | | $1,474.01 | $25,152.03 | $64,291.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,057.00 / $49,192.14 / $69,686.59
| Facility | | $34,057.00 | $49,192.14 | $69,686.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,769.56 / $50,338.33 / $86,648.59
| Facility | | $29,769.56 | $50,338.33 | $86,648.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,769.56 / $50,138.82 / $87,767.39
| Facility | | $29,769.56 | $50,138.82 | $87,767.39 |