- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,329.20 / $35,231.60 / $58,494.30
| Facility | | $25,329.20 | $35,231.60 | $58,494.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,437.60 / $37,437.60 / $37,437.60
| Facility | | $37,437.60 | $37,437.60 | $37,437.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,272.00 / $39,464.87 / $60,018.53
| Facility | | $3,272.00 | $39,464.87 | $60,018.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,924.18 / $41,306.62 / $65,940.22
| Facility | | $25,924.18 | $41,306.62 | $65,940.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,350.00 / $40,124.58 / $70,563.80
| Facility | | $4,350.00 | $40,124.58 | $70,563.80 |