- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,100.80 / $32,245.20 / $56,742.30
| Facility | | $19,100.80 | $32,245.20 | $56,742.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,050.43 / $36,050.43 / $36,050.43
| Facility | | $36,050.43 | $36,050.43 | $36,050.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,626.84 / $30,798.90 / $50,949.84
| Facility | | $21,626.84 | $30,798.90 | $50,949.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,375.13 / $29,229.46 / $40,105.42
| Facility | | $17,375.13 | $29,229.46 | $40,105.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,485.30 / $61,485.30 / $72,158.22
| Facility | | $61,485.30 | $61,485.30 | $72,158.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $28,471.72 / $40,139.71
| Facility | | $1,787.00 | $28,471.72 | $40,139.71 |