- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,790.20 / $62,101.40 / $108,442.00
| Facility | | $46,790.20 | $62,101.40 | $108,442.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,436.80 / $33,436.80 / $47,158.96
| Facility | | $33,436.80 | $33,436.80 | $47,158.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $51,915.04 / $103,347.50
| Facility | | $5,939.30 | $51,915.04 | $103,347.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,215.12 / $59,464.79 / $96,819.53
| Facility | | $40,215.12 | $59,464.79 | $96,819.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $77,455.62 / $109,717.06
| Facility | | $3,496.00 | $77,455.62 | $109,717.06 |