- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,995.20 / $58,607.40 / $82,981.89
| Facility | | $31,995.20 | $58,607.40 | $82,981.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,866.58 / $50,000.00 / $81,270.77
| Facility | | $31,866.58 | $50,000.00 | $81,270.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,265.32 / $52,720.49 / $93,798.12
| Facility | | $33,265.32 | $52,720.49 | $93,798.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $47,552.58 / $110,916.46
| Facility | | $7,117.00 | $47,552.58 | $110,916.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $47,070.43 / $98,566.15
| Facility | | $3,308.00 | $47,070.43 | $98,566.15 |