- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,897.80 / $45,435.10 / $60,947.30
| Facility | | $21,897.80 | $45,435.10 | $60,947.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,126.89 / $21,126.89 / $21,126.89
| Facility | | $21,126.89 | $21,126.89 | $21,126.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,897.00 / $45,231.75 / $53,782.65
| Facility | | $3,897.00 | $45,231.75 | $53,782.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,619.85 / $46,916.70 / $73,845.45
| Facility | | $38,619.85 | $46,916.70 | $73,845.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $57,964.35 / $73,204.87
| Facility | | $1,350.00 | $57,964.35 | $73,204.87 |