- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,150.30 / $54,086.00 / $89,795.50
| Facility | | $42,150.30 | $54,086.00 | $89,795.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,963.79 / $51,629.43 / $125,342.12
| Facility | | $33,963.79 | $51,629.43 | $125,342.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,738.02 / $66,738.02 / $66,738.02
| Facility | | $66,738.02 | $66,738.02 | $66,738.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,873.01 / $55,296.23 / $76,723.80
| Facility | | $27,873.01 | $55,296.23 | $76,723.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,873.01 / $55,296.23 / $77,716.12
| Facility | | $27,873.01 | $55,296.23 | $77,716.12 |