- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,298.70 / $34,904.40 / $60,950.20
| Facility | | $26,298.70 | $34,904.40 | $60,950.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,556.00 / $32,556.00 / $37,909.42
| Facility | | $32,556.00 | $32,556.00 | $37,909.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $31,101.10 / $61,388.15
| Facility | | $5,939.30 | $31,101.10 | $61,388.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,265.62 / $37,443.86 / $54,417.83
| Facility | | $24,265.62 | $37,443.86 | $54,417.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,535.00 / $35,651.92 / $61,666.94
| Facility | | $3,535.00 | $35,651.92 | $61,666.94 |