- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,095.50 / $55,761.40 / $97,561.30
| Facility | | $42,095.50 | $55,761.40 | $97,561.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,946.78 / $40,946.78 / $40,946.78
| Facility | | $40,946.78 | $40,946.78 | $40,946.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $50,251.79 / $99,188.26
| Facility | | $5,939.30 | $50,251.79 | $99,188.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,512.00 / $53,498.40 / $87,105.15
| Facility | | $17,512.00 | $53,498.40 | $87,105.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $57,464.76 / $87,770.32
| Facility | | $3,496.00 | $57,464.76 | $87,770.32 |