- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,007.10 / $54,319.60 / $95,038.70
| Facility | | $41,007.10 | $54,319.60 | $95,038.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,396.00 / $29,462.16 / $44,755.27
| Facility | | $12,396.00 | $29,462.16 | $44,755.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $46,886.72 / $95,219.32
| Facility | | $5,939.30 | $46,886.72 | $95,219.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,239.00 / $52,115.11 / $84,852.90
| Facility | | $21,239.00 | $52,115.11 | $84,852.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $55,978.92 / $96,156.33
| Facility | | $3,496.00 | $55,978.92 | $96,156.33 |