- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,379.60 / $63,427.50 / $105,196.00
| Facility | | $49,379.60 | $63,427.50 | $105,196.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,979.68 / $64,264.22 / $138,759.00
| Facility | | $41,979.68 | $64,264.22 | $138,759.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78,184.38 / $78,184.38 / $78,184.38
| Facility | | $78,184.38 | $78,184.38 | $78,184.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,653.56 / $67,849.42 / $187,716.49
| Facility | | $32,653.56 | $67,849.42 | $187,716.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,653.56 / $64,780.18 / $91,045.35
| Facility | | $32,653.56 | $64,780.18 | $91,045.35 |