- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,275.70 / $55,987.00 / $107,500.00
| Facility | | $43,275.70 | $55,987.00 | $107,500.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,645.75 / $40,645.75 / $40,645.75
| Facility | | $40,645.75 | $40,645.75 | $40,645.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,424.28 / $50,090.94 / $105,851.04
| Facility | | $34,424.28 | $50,090.94 | $105,851.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,837.45 / $59,229.11 / $100,495.00
| Facility | | $43,837.45 | $59,229.11 | $100,495.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,240.00 / $56,772.54 / $95,320.74
| Facility | | $9,240.00 | $56,772.54 | $95,320.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,226.00 / $56,182.20 / $79,791.00
| Facility | | $9,226.00 | $56,182.20 | $79,791.00 |