- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,705.70 / $53,622.00 / $104,845.00
| Facility | | $24,705.70 | $53,622.00 | $104,845.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,137.44 / $50,390.21 / $83,317.39
| Facility | | $34,137.44 | $50,390.21 | $83,317.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,104.77 / $54,008.52 / $74,104.49
| Facility | | $32,104.77 | $54,008.52 | $74,104.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110,258.55 / $110,258.55 / $129,397.77
| Facility | | $110,258.55 | $110,258.55 | $129,397.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $56,654.23 / $73,770.86
| Facility | | $2,520.00 | $56,654.23 | $73,770.86 |