- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,950.40 / $28,114.30 / $36,707.19
| Facility | | $11,950.40 | $28,114.30 | $36,707.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,606.00 / $7,170.00 / $30,206.67
| Facility | | $1,606.00 | $7,170.00 | $30,206.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,274.55 / $17,086.66 / $40,192.66
| Facility | | $15,274.55 | $17,086.66 | $40,192.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,301.94 / $37,301.94 / $37,301.94
| Facility | | $37,301.94 | $37,301.94 | $37,301.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,887.94 / $26,461.70 / $40,863.08
| Facility | | $22,887.94 | $26,461.70 | $40,863.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,606.00 / $7,170.00 / $30,206.67
| Facility | | $1,606.00 | $7,170.00 | $30,206.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,606.00 / $5,840.42 / $26,036.38
| Facility | | $1,606.00 | $5,840.42 | $26,036.38 |