- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,151.70 / $49,212.90 / $86,600.50
| Facility | | $29,151.70 | $49,212.90 | $86,600.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,146.00 / $15,146.00 / $15,146.00
| Facility | | $15,146.00 | $15,146.00 | $15,146.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,633.61 / $57,026.99 / $93,650.28
| Facility | | $38,633.61 | $57,026.99 | $93,650.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,518.06 / $44,610.23 / $61,209.20
| Facility | | $26,518.06 | $44,610.23 | $61,209.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,223.04 / $90,905.60 / $106,685.44
| Facility | | $43,223.04 | $90,905.60 | $106,685.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $43,453.75 / $67,753.25
| Facility | | $1,787.00 | $43,453.75 | $67,753.25 |