- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,554.40 / $36,387.40 / $64,031.20
| Facility | | $21,554.40 | $36,387.40 | $64,031.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,256.00 / $5,256.00 / $5,256.00
| Facility | | $5,256.00 | $5,256.00 | $5,256.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,049.79 / $16,310.57 / $27,046.97
| Facility | | $11,049.79 | $16,310.57 | $27,046.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,276.20 / $32,984.18 / $45,257.22
| Facility | | $19,276.20 | $32,984.18 | $45,257.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,525.80 / $63,525.80 / $74,552.92
| Facility | | $63,525.80 | $63,525.80 | $74,552.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $31,069.04 / $45,295.91
| Facility | | $1,787.00 | $31,069.04 | $45,295.91 |