- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,252.09 / $33,762.00 / $59,070.70
| Facility | | $20,252.09 | $33,762.00 | $59,070.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,560.76 / $28,560.76 / $28,560.76
| Facility | | $28,560.76 | $28,560.76 | $28,560.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $31,955.35 / $61,241.35
| Facility | | $5,939.30 | $31,955.35 | $61,241.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,185.72 / $36,289.23 / $60,065.81
| Facility | | $24,185.72 | $36,289.23 | $60,065.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $45,000.00 / $59,765.35
| Facility | | $3,496.00 | $45,000.00 | $59,765.35 |