- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,476.90 / $33,747.69 / $59,045.70
| Facility | | $25,476.90 | $33,747.69 | $59,045.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,868.24 / $26,868.24 / $26,868.24
| Facility | | $26,868.24 | $26,868.24 | $26,868.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $30,181.24 / $57,163.67
| Facility | | $5,939.30 | $30,181.24 | $57,163.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,058.00 / $32,378.13 / $52,717.50
| Facility | | $19,058.00 | $32,378.13 | $52,717.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $34,778.64 / $59,740.11
| Facility | | $3,496.00 | $34,778.64 | $59,740.11 |