- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,535.70 / $39,547.00 / $46,250.30
| Facility | | $25,535.70 | $39,547.00 | $46,250.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,092.00 / $41,479.30 / $57,719.15
| Facility | | $3,092.00 | $41,479.30 | $57,719.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,844.00 / $32,480.86 / $50,904.78
| Facility | | $5,844.00 | $32,480.86 | $50,904.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,192.00 / $35,915.00 / $51,995.00
| Facility | | $22,192.00 | $35,915.00 | $51,995.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $46,026.72 / $61,276.93
| Facility | | $5,274.00 | $46,026.72 | $61,276.93 |