- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,990.80 / $33,178.90 / $44,506.60
| Facility | | $15,990.80 | $33,178.90 | $44,506.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,441.83 / $30,441.83 / $30,441.83
| Facility | | $30,441.83 | $30,441.83 | $30,441.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,897.00 / $37,196.10 / $44,227.89
| Facility | | $3,897.00 | $37,196.10 | $44,227.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,202.05 / $34,260.80 / $53,925.45
| Facility | | $28,202.05 | $34,260.80 | $53,925.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $42,328.32 / $53,457.67
| Facility | | $1,350.00 | $42,328.32 | $53,457.67 |