- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,326.20 / $33,548.10 / $58,696.40
| Facility | | $25,326.20 | $33,548.10 | $58,696.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,673.23 / $23,673.23 / $23,673.23
| Facility | | $23,673.23 | $23,673.23 | $23,673.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $30,505.74 / $62,364.07
| Facility | | $5,939.30 | $30,505.74 | $62,364.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,470.00 / $32,186.60 / $52,405.65
| Facility | | $17,470.00 | $32,186.60 | $52,405.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $34,572.91 / $52,805.84
| Facility | | $3,496.00 | $34,572.91 | $52,805.84 |