- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,114.10 / $45,884.10 / $61,549.50
| Facility | | $22,114.10 | $45,884.10 | $61,549.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,945.16 / $26,945.16 / $26,945.16
| Facility | | $26,945.16 | $26,945.16 | $26,945.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,897.00 / $53,598.56 / $63,731.18
| Facility | | $3,897.00 | $53,598.56 | $63,731.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,001.47 / $47,380.30 / $74,575.14
| Facility | | $39,001.47 | $47,380.30 | $74,575.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $58,537.11 / $73,928.23
| Facility | | $1,350.00 | $58,537.11 | $73,928.23 |