- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,406.00 / $34,172.00 / $57,051.20
| Facility | | $3,406.00 | $34,172.00 | $57,051.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,634.05 / $30,634.05 / $31,323.44
| Facility | | $30,634.05 | $30,634.05 | $31,323.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $19,499.05 / $50,149.83
| Facility | | $1,474.01 | $19,499.05 | $50,149.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,885.65 / $35,091.00 / $52,481.83
| Facility | | $23,885.65 | $35,091.00 | $52,481.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,419.82 / $33,440.00 / $65,256.12
| Facility | | $22,419.82 | $33,440.00 | $65,256.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,419.82 / $31,072.52 / $56,020.09
| Facility | | $22,419.82 | $31,072.52 | $56,020.09 |