- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,207.50 / $56,207.50 / $66,617.00
| Facility | | $56,207.50 | $56,207.50 | $66,617.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,956.71 / $68,265.81 / $102,121.50
| Facility | | $41,956.71 | $68,265.81 | $102,121.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,970.83 / $56,898.63 / $96,806.43
| Facility | | $45,970.83 | $56,898.63 | $96,806.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,129.31 / $65,992.08 / $108,019.53
| Facility | | $41,129.31 | $65,992.08 | $108,019.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $617.20 / $38,953.49 / $55,655.16
| Facility | | $617.20 | $38,953.49 | $55,655.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,803.14 / $65,197.37 / $76,623.25
| Facility | | $46,803.14 | $65,197.37 | $76,623.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,239.82 / $69,542.52 / $87,664.02
| Facility | | $42,239.82 | $69,542.52 | $87,664.02 |