- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,376.80 / $52,262.10 / $91,260.30
| Facility | | $39,376.80 | $52,262.10 | $91,260.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,089.71 / $39,089.71 / $39,089.71
| Facility | | $39,089.71 | $39,089.71 | $39,089.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $45,182.28 / $90,277.17
| Facility | | $5,939.30 | $45,182.28 | $90,277.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,333.00 / $50,043.21 / $81,479.48
| Facility | | $26,333.00 | $50,043.21 | $81,479.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $44,851.57 / $92,333.53
| Facility | | $3,496.00 | $44,851.57 | $92,333.53 |