- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,213.70 / $31,782.10 / $36,642.80
| Facility | | $26,213.70 | $31,782.10 | $36,642.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,500.37 / $36,500.37 / $36,500.37
| Facility | | $36,500.37 | $36,500.37 | $36,500.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,715.00 / $14,552.00
| Facility | | $1,252.00 | $3,715.00 | $14,552.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,318.90 / $37,117.26 / $63,704.82
| Facility | | $23,318.90 | $37,117.26 | $63,704.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,137.00 / $36,120.17 / $56,090.00
| Facility | | $3,137.00 | $36,120.17 | $56,090.00 |