- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,097.30 / $34,519.90 / $55,581.40
| Facility | | $15,097.30 | $34,519.90 | $55,581.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,405.07 / $30,405.07 / $30,405.07
| Facility | | $30,405.07 | $30,405.07 | $30,405.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $21,471.48 / $50,808.22
| Facility | | $1,474.01 | $21,471.48 | $50,808.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,453.00 / $34,186.94 / $51,129.74
| Facility | | $23,453.00 | $34,186.94 | $51,129.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,842.22 / $30,902.00 / $63,574.93
| Facility | | $21,842.22 | $30,902.00 | $63,574.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,354.82 / $36,933.73 / $54,576.85
| Facility | | $23,354.82 | $36,933.73 | $54,576.85 |