- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,970.50 / $39,740.40 / $65,978.50
| Facility | | $30,970.50 | $39,740.40 | $65,978.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,064.00 / $16,064.00 / $16,064.00
| Facility | | $16,064.00 | $16,064.00 | $16,064.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.67 / $36,773.86 / $62,295.67
| Facility | | $24,547.67 | $36,773.86 | $62,295.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,254.98 / $43,440.53 / $65,249.00
| Facility | | $34,254.98 | $43,440.53 | $65,249.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,480.08 / $40,718.25 / $109,767.45
| Facility | | $20,480.08 | $40,718.25 | $109,767.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,480.08 / $40,629.67 / $57,103.00
| Facility | | $20,480.08 | $40,629.67 | $57,103.00 |