- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,196.50 / $64,342.50 / $89,010.30
| Facility | | $19,196.50 | $64,342.50 | $89,010.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $22,171.00
| Facility | | $1,146.00 | $3,000.00 | $22,171.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,217.65 / $33,461.42 / $62,066.12
| Facility | | $24,217.65 | $33,461.42 | $62,066.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,217.65 / $34,553.69 / $62,066.12
| Facility | | $24,217.65 | $34,553.69 | $62,066.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $42,827.39 / $66,404.53
| Facility | | $5,419.00 | $42,827.39 | $66,404.53 |