- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,821.00 / $23,056.50 / $44,234.40
| Facility | | $3,821.00 | $23,056.50 | $44,234.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,358.33 / $30,358.33 / $30,358.33
| Facility | | $30,358.33 | $30,358.33 | $30,358.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,290.99 / $33,472.99 / $56,615.05
| Facility | | $12,290.99 | $33,472.99 | $56,615.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,268.05 / $33,974.86 / $60,601.55
| Facility | | $24,268.05 | $33,974.86 | $60,601.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,001.96 / $37,742.44 / $55,107.06
| Facility | | $29,001.96 | $37,742.44 | $55,107.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,001.96 / $35,086.64 / $55,107.06
| Facility | | $29,001.96 | $35,086.64 | $55,107.06 |