- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,872.30 / $41,232.60 / $55,309.90
| Facility | | $19,872.30 | $41,232.60 | $55,309.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,027.94 / $48,027.94 / $48,027.94
| Facility | | $48,027.94 | $48,027.94 | $48,027.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,897.00 / $46,905.31 / $55,772.60
| Facility | | $3,897.00 | $46,905.31 | $55,772.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,047.68 / $42,577.10 / $67,015.06
| Facility | | $35,047.68 | $42,577.10 | $67,015.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $52,602.89 / $66,433.72
| Facility | | $1,350.00 | $52,602.89 | $66,433.72 |