- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,194.20 / $35,779.30 / $62,961.20
| Facility | | $21,194.20 | $35,779.30 | $62,961.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,897.74 / $24,897.74 / $45,449.88
| Facility | | $24,897.74 | $24,897.74 | $45,449.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,341.68 / $26,917.50 / $44,399.95
| Facility | | $18,341.68 | $26,917.50 | $44,399.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,230.30 / $32,432.99 / $44,500.95
| Facility | | $19,230.30 | $32,432.99 | $44,500.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,626.50 / $63,626.50 / $74,671.10
| Facility | | $63,626.50 | $63,626.50 | $74,671.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $28,414.46 / $44,300.59
| Facility | | $2,520.00 | $28,414.46 | $44,300.59 |