- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,503.20 / $48,859.60 / $63,601.40
| Facility | | $30,503.20 | $48,859.60 | $63,601.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,583.47 / $8,822.15 / $12,079.55
| Facility | | $4,583.47 | $8,822.15 | $12,079.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,106.52 / $48,788.00 / $66,083.00
| Facility | | $28,106.52 | $48,788.00 | $66,083.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,817.00 / $4,817.00 / $4,817.00
| Facility | | $4,817.00 | $4,817.00 | $4,817.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,823.00 / $38,903.00 / $62,955.00
| Facility | | $26,823.00 | $38,903.00 | $62,955.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,098.00 / $19,347.00 / $60,267.79
| Facility | | $6,098.00 | $19,347.00 | $60,267.79 |