- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $41,686.94 / $77,624.71
| Facility | | $15,848.93 | $41,686.94 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $66,069.34 / $81,283.05
| Facility | | $43,651.58 | $66,069.34 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $56,234.13 / $72,443.60
| Facility | | $35,481.34 | $56,234.13 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $48,977.88 / $125,892.54
| Facility | | $27,542.29 | $48,977.88 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $42,657.95 / $69,183.10
| Facility | | $10,000.00 | $42,657.95 | $69,183.10 |