- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,057.90 / $27,676.80 / $46,321.10
| Facility | | $20,057.90 | $27,676.80 | $46,321.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,465.87 / $33,465.87 / $33,465.87
| Facility | | $33,465.87 | $33,465.87 | $33,465.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,272.00 / $32,120.92 / $49,471.43
| Facility | | $3,272.00 | $32,120.92 | $49,471.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,529.14 / $31,137.56 / $52,217.50
| Facility | | $20,529.14 | $31,137.56 | $52,217.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,062.00 / $31,752.04 / $55,878.87
| Facility | | $4,062.00 | $31,752.04 | $55,878.87 |