- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,393.80 / $39,492.50 / $69,495.39
| Facility | | $23,393.80 | $39,492.50 | $69,495.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,976.11 / $44,976.11 / $44,976.11
| Facility | | $44,976.11 | $44,976.11 | $44,976.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,734.96 / $32,092.11 / $52,766.95
| Facility | | $21,734.96 | $32,092.11 | $52,766.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,280.28 / $35,798.93 / $49,119.32
| Facility | | $21,280.28 | $35,798.93 | $49,119.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,785.64 / $74,785.64 / $87,767.31
| Facility | | $74,785.64 | $74,785.64 | $87,767.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $34,417.39 / $49,161.31
| Facility | | $1,787.00 | $34,417.39 | $49,161.31 |