- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,749.06 / $42,714.70 / $80,877.10
| Facility | | $1,749.06 | $42,714.70 | $80,877.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,152.87 / $25,152.87 / $25,152.87
| Facility | | $25,152.87 | $25,152.87 | $25,152.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,580.00 / $40,711.76 / $76,625.80
| Facility | | $2,580.00 | $40,711.76 | $76,625.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,500.00 / $46,252.31 / $83,453.03
| Facility | | $2,500.00 | $46,252.31 | $83,453.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,500.00 / $65,755.80 / $96,941.10
| Facility | | $2,500.00 | $65,755.80 | $96,941.10 |