- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,443.70 / $28,405.10 / $49,698.20
| Facility | | $21,443.70 | $28,405.10 | $49,698.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,671.00 / $25,671.00 / $25,671.00
| Facility | | $25,671.00 | $25,671.00 | $25,671.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $21,762.54 / $47,708.88
| Facility | | $5,939.30 | $21,762.54 | $47,708.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,171.06 / $27,252.35 / $44,371.80
| Facility | | $16,171.06 | $27,252.35 | $44,371.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $28,222.00 / $50,282.66
| Facility | | $3,496.00 | $28,222.00 | $50,282.66 |