- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,268.00 / $52,287.10 / $79,612.70
| Facility | | $34,268.00 | $52,287.10 | $79,612.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,740.13 / $45,740.13 / $45,740.13
| Facility | | $45,740.13 | $45,740.13 | $45,740.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,051.55 / $50,317.10 / $75,389.25
| Facility | | $31,051.55 | $50,317.10 | $75,389.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,391.79 / $50,241.04 / $90,934.00
| Facility | | $36,391.79 | $50,241.04 | $90,934.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $272.80 / $518.64 / $902.29
| Facility | | $272.80 | $518.64 | $902.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,033.15 / $55,346.98 / $87,942.27
| Facility | | $38,033.15 | $55,346.98 | $87,942.27 |