- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,938.70 / $30,853.80 / $62,703.10
| Facility | | $23,938.70 | $30,853.80 | $62,703.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,025.13 / $20,025.13 / $20,025.13
| Facility | | $20,025.13 | $20,025.13 | $20,025.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,188.60 / $29,067.40 / $33,231.55
| Facility | | $23,188.60 | $29,067.40 | $33,231.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,941.20 / $31,471.79 / $43,260.77
| Facility | | $18,941.20 | $31,471.79 | $43,260.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $30,901.00 / $43,207.32
| Facility | | $1,518.00 | $30,901.00 | $43,207.32 |