- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,646.80 / $32,648.10 / $57,121.90
| Facility | | $24,646.80 | $32,648.10 | $57,121.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,118.08 / $46,118.08 / $46,118.08
| Facility | | $46,118.08 | $46,118.08 | $46,118.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $27,523.00 / $54,325.60
| Facility | | $5,939.30 | $27,523.00 | $54,325.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,586.61 / $31,323.18 / $50,999.85
| Facility | | $18,586.61 | $31,323.18 | $50,999.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $33,645.48 / $57,793.65
| Facility | | $3,496.00 | $33,645.48 | $57,793.65 |