- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $43,651.58 / $100,000.00
| Facility | | $30,199.52 | $43,651.58 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $31,622.78 / $31,622.78
| Facility | | $31,622.78 | $31,622.78 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $44,668.36 / $74,131.02
| Facility | | $26,302.68 | $44,668.36 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $51,286.14 / $63,095.73
| Facility | | $36,307.81 | $51,286.14 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $67,608.30 / $102,329.30
| Facility | | $37,153.52 | $67,608.30 | $102,329.30 |