- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $23,988.33 / $23,988.33
| Facility | | $23,988.33 | $23,988.33 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $33,884.42 / $56,234.13
| Facility | | $20,417.38 | $33,884.42 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,443.60 / $95,499.26 / $100,000.00
| Facility | | $72,443.60 | $95,499.26 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $23,988.33 / $52,480.75
| Facility | | $23,988.33 | $23,988.33 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $38,018.94 / $57,543.99
| Facility | | $25,118.86 | $38,018.94 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $35,481.34 / $38,904.51
| Facility | | $28,183.83 | $35,481.34 | $38,904.51 |