- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,622.40 / $29,749.50 / $52,350.60
| Facility | | $17,622.40 | $29,749.50 | $52,350.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,262.41 / $32,262.41 / $32,262.41
| Facility | | $32,262.41 | $32,262.41 | $32,262.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,779.73 / $25,175.36 / $40,953.37
| Facility | | $16,779.73 | $25,175.36 | $40,953.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,030.34 / $26,967.17 / $37,001.36
| Facility | | $16,030.34 | $26,967.17 | $37,001.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,975.95 / $55,975.95 / $65,692.53
| Facility | | $55,975.95 | $55,975.95 | $65,692.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $25,926.47 / $37,032.99
| Facility | | $1,787.00 | $25,926.47 | $37,032.99 |