- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,685.69 / $43,268.90 / $71,762.80
| Facility | | $33,685.69 | $43,268.90 | $71,762.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,321.39 / $36,971.69 / $86,723.00
| Facility | | $24,321.39 | $36,971.69 | $86,723.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,335.73 / $53,335.73 / $53,335.73
| Facility | | $53,335.73 | $53,335.73 | $53,335.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,275.56 / $44,288.02 / $107,994.75
| Facility | | $22,275.56 | $44,288.02 | $107,994.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,275.56 / $44,191.67 / $62,109.21
| Facility | | $22,275.56 | $44,191.67 | $62,109.21 |