- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $67,608.30 / $87,096.36
| Facility | | $48,977.88 | $67,608.30 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $19,952.62 / $19,952.62
| Facility | | $19,952.62 | $19,952.62 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $60,255.96 / $83,176.38
| Facility | | $38,018.94 | $60,255.96 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $70,794.58 / $100,000.00
| Facility | | $37,153.52 | $70,794.58 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $63,095.73 / $81,283.05
| Facility | | $38,018.94 | $63,095.73 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $70,794.58 / $100,000.00
| Facility | | $33,113.11 | $70,794.58 | $100,000.00 |