- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,490.79 / $40,294.50 / $66,898.30
| Facility | | $28,490.79 | $40,294.50 | $66,898.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,282.05 / $30,282.05 / $30,282.05
| Facility | | $30,282.05 | $30,282.05 | $30,282.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,564.00 / $36,615.03 / $60,698.35
| Facility | | $18,564.00 | $36,615.03 | $60,698.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,474.86 / $41,040.65 / $61,798.10
| Facility | | $31,474.86 | $41,040.65 | $61,798.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,765.59 / $41,285.92 / $106,952.90
| Facility | | $20,765.59 | $41,285.92 | $106,952.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,765.59 / $41,196.11 / $57,899.10
| Facility | | $20,765.59 | $41,196.11 | $57,899.10 |