- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,519.40 / $45,725.80 / $80,002.80
| Facility | | $34,519.40 | $45,725.80 | $80,002.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,559.15 / $32,076.13 / $38,224.19
| Facility | | $15,559.15 | $32,076.13 | $38,224.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $39,708.93 / $81,178.50
| Facility | | $5,939.30 | $39,708.93 | $81,178.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,512.00 / $43,870.09 / $71,428.50
| Facility | | $17,512.00 | $43,870.09 | $71,428.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $47,122.61 / $71,973.95
| Facility | | $3,496.00 | $47,122.61 | $71,973.95 |