- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,590.50 / $37,088.69 / $42,761.10
| Facility | | $30,590.50 | $37,088.69 | $42,761.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,631.64 / $46,631.64 / $46,631.64
| Facility | | $46,631.64 | $46,631.64 | $46,631.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,715.00 / $8,731.00
| Facility | | $1,252.00 | $3,715.00 | $8,731.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,212.44 / $43,314.70 / $74,341.57
| Facility | | $27,212.44 | $43,314.70 | $74,341.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,137.00 / $42,151.13 / $65,455.30
| Facility | | $3,137.00 | $42,151.13 | $65,455.30 |