- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,997.20 / $32,217.90 / $65,475.40
| Facility | | $24,997.20 | $32,217.90 | $65,475.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,007.29 / $34,007.29 / $34,007.29
| Facility | | $34,007.29 | $34,007.29 | $34,007.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,811.98 / $29,848.82 / $34,124.92
| Facility | | $23,811.98 | $29,848.82 | $34,124.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,778.66 / $32,863.26 / $45,173.49
| Facility | | $19,778.66 | $32,863.26 | $45,173.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,108.37 / $39,108.37 / $39,108.37
| Facility | | $39,108.37 | $39,108.37 | $39,108.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $30,644.72 / $45,117.67
| Facility | | $1,518.00 | $30,644.72 | $45,117.67 |