- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,879.40 / $38,510.40 / $78,263.39
| Facility | | $29,879.40 | $38,510.40 | $78,263.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,102.50 / $12,102.50 / $12,102.50
| Facility | | $12,102.50 | $12,102.50 | $12,102.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,886.03 / $37,462.76 / $42,829.63
| Facility | | $29,886.03 | $37,462.76 | $42,829.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,641.63 / $39,098.33 / $53,996.32
| Facility | | $23,641.63 | $39,098.33 | $53,996.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,580.60 / $2,580.60 / $13,917.88
| Facility | | $2,580.60 | $2,580.60 | $13,917.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $478.00 / $2,122.00 / $48,033.79
| Facility | | $478.00 | $2,122.00 | $48,033.79 |