- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,347.40 / $54,607.80 / $96,094.00
| Facility | | $32,347.40 | $54,607.80 | $96,094.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,426.14 / $33,407.72 / $54,444.95
| Facility | | $22,426.14 | $33,407.72 | $54,444.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,425.06 / $49,500.56 / $67,919.17
| Facility | | $29,425.06 | $49,500.56 | $67,919.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103,050.55 / $103,050.55 / $120,938.57
| Facility | | $103,050.55 | $103,050.55 | $120,938.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $50,183.63 / $67,613.39
| Facility | | $2,520.00 | $50,183.63 | $67,613.39 |