- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,926.10 / $46,264.50 / $80,945.30
| Facility | | $34,926.10 | $46,264.50 | $80,945.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,314.17 / $26,314.17 / $26,314.17
| Facility | | $26,314.17 | $26,314.17 | $26,314.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $37,821.87 / $79,278.30
| Facility | | $5,939.30 | $37,821.87 | $79,278.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,239.00 / $44,386.92 / $72,270.00
| Facility | | $21,239.00 | $44,386.92 | $72,270.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $47,677.76 / $81,897.24
| Facility | | $3,496.00 | $47,677.76 | $81,897.24 |