- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,292.20 / $32,415.40 / $63,380.80
| Facility | | $18,292.20 | $32,415.40 | $63,380.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,885.57 / $33,885.57 / $36,276.94
| Facility | | $33,885.57 | $33,885.57 | $36,276.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,448.50 / $29,559.75 / $48,173.87
| Facility | | $20,448.50 | $29,559.75 | $48,173.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,028.59 / $31,488.70 / $42,912.94
| Facility | | $18,028.59 | $31,488.70 | $42,912.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,308.30 / $66,308.30 / $77,818.42
| Facility | | $66,308.30 | $66,308.30 | $77,818.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $34,248.50 / $59,740.20
| Facility | | $2,520.00 | $34,248.50 | $59,740.20 |