- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,406.00 / $39,820.90 / $72,372.80
| Facility | | $3,406.00 | $39,820.90 | $72,372.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,982.22 / $48,982.22 / $48,982.22
| Facility | | $48,982.22 | $48,982.22 | $48,982.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $26,503.80 / $58,868.61
| Facility | | $1,474.01 | $26,503.80 | $58,868.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,300.35 / $44,514.98 / $66,576.25
| Facility | | $30,300.35 | $44,514.98 | $66,576.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,688.60 / $38,329.75 / $82,781.20
| Facility | | $24,688.60 | $38,329.75 | $82,781.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,703.01 / $38,329.75 / $71,064.75
| Facility | | $26,703.01 | $38,329.75 | $71,064.75 |