- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,325.00 / $64,131.20 / $102,664.00
| Facility | | $41,325.00 | $64,131.20 | $102,664.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,961.20 / $23,961.20 / $27,276.60
| Facility | | $23,961.20 | $23,961.20 | $27,276.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,523.41 / $50,031.62 / $70,461.08
| Facility | | $25,523.41 | $50,031.62 | $70,461.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,302.54 / $58,552.40 / $89,638.19
| Facility | | $39,302.54 | $58,552.40 | $89,638.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,496.62 / $57,938.60 / $77,639.45
| Facility | | $37,496.62 | $57,938.60 | $77,639.45 |