- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $52,480.75 / $57,543.99
| Facility | | $20,417.38 | $52,480.75 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $48,977.88 / $48,977.88
| Facility | | $48,977.88 | $48,977.88 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $58,884.37 / $102,329.30
| Facility | | $40,738.03 | $58,884.37 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $46,773.51 / $100,000.00
| Facility | | $32,359.37 | $46,773.51 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $40,738.03 / $81,283.05
| Facility | | $30,199.52 | $40,738.03 | $81,283.05 |