- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,410.50 / $44,424.00 / $59,591.00
| Facility | | $21,410.50 | $44,424.00 | $59,591.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,568.58 / $47,568.58 / $47,568.58
| Facility | | $47,568.58 | $47,568.58 | $47,568.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,897.00 / $37,263.56 / $44,308.10
| Facility | | $3,897.00 | $37,263.56 | $44,308.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,760.43 / $45,872.65 / $72,202.14
| Facility | | $37,760.43 | $45,872.65 | $72,202.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $56,674.45 / $71,575.82
| Facility | | $1,350.00 | $56,674.45 | $71,575.82 |