- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $58,884.37 / $70,794.58
| Facility | | $48,977.88 | $58,884.37 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $52,480.75 / $85,113.80
| Facility | | $51,286.14 | $52,480.75 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $60,255.96 / $93,325.43
| Facility | | $46,773.51 | $60,255.96 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $72,443.60 / $72,443.60
| Facility | | $34,673.69 | $72,443.60 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $67,608.30 / $100,000.00
| Facility | | $47,863.01 | $67,608.30 | $100,000.00 |