- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,853.50 / $44,130.80 / $71,731.20
| Facility | | $25,853.50 | $44,130.80 | $71,731.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,231.00 / $11,231.00 / $43,477.78
| Facility | | $11,231.00 | $11,231.00 | $43,477.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,169.18 / $35,064.14 / $55,317.08
| Facility | | $22,169.18 | $35,064.14 | $55,317.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,410.67 / $25,409.17 / $55,789.26
| Facility | | $11,410.67 | $25,409.17 | $55,789.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,047.00 / $36,622.55 / $50,375.06
| Facility | | $7,047.00 | $36,622.55 | $50,375.06 |