- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,107.10 / $31,345.30 / $42,047.00
| Facility | | $15,107.10 | $31,345.30 | $42,047.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,107.84 / $51,107.84 / $51,107.84
| Facility | | $51,107.84 | $51,107.84 | $51,107.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,897.00 / $53,010.84 / $63,032.35
| Facility | | $3,897.00 | $53,010.84 | $63,032.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,643.52 / $32,367.45 / $50,945.38
| Facility | | $26,643.52 | $32,367.45 | $50,945.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $39,989.12 / $50,503.44
| Facility | | $1,350.00 | $39,989.12 | $50,503.44 |