- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,203.60 / $35,188.00 / $58,420.30
| Facility | | $22,203.60 | $35,188.00 | $58,420.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,488.05 / $42,488.05 / $42,488.05
| Facility | | $42,488.05 | $42,488.05 | $42,488.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,560.66 / $26,882.61 / $44,564.48
| Facility | | $17,560.66 | $26,882.61 | $44,564.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,132.00 / $35,839.58 / $49,555.00
| Facility | | $25,132.00 | $35,839.58 | $49,555.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,133.98 / $36,053.78 / $78,524.39
| Facility | | $18,133.98 | $36,053.78 | $78,524.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,133.98 / $35,975.33 / $50,561.57
| Facility | | $18,133.98 | $35,975.33 | $50,561.57 |