- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,221.30 / $35,428.60 / $40,847.10
| Facility | | $29,221.30 | $35,428.60 | $40,847.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,699.58 / $25,699.58 / $25,699.58
| Facility | | $25,699.58 | $25,699.58 | $25,699.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,702.00 / $6,578.00
| Facility | | $1,252.00 | $3,702.00 | $6,578.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,994.44 / $41,375.98 / $71,014.12
| Facility | | $25,994.44 | $41,375.98 | $71,014.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,137.00 / $41,299.79 / $62,525.59
| Facility | | $3,137.00 | $41,299.79 | $62,525.59 |