- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,414.40 / $38,207.60 / $51,252.20
| Facility | | $18,414.40 | $38,207.60 | $51,252.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,826.54 / $14,826.54 / $38,030.16
| Facility | | $14,826.54 | $14,826.54 | $38,030.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,897.00 / $79,178.16 / $94,146.51
| Facility | | $3,897.00 | $79,178.16 | $94,146.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,476.46 / $39,453.50 / $62,098.60
| Facility | | $32,476.46 | $39,453.50 | $62,098.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $48,743.76 / $61,559.92
| Facility | | $1,350.00 | $48,743.76 | $61,559.92 |