- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $31,622.78 / $31,622.78
| Facility | | $31,622.78 | $31,622.78 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $46,773.51 / $72,443.60
| Facility | | $28,183.83 | $46,773.51 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93,325.43 / $125,892.54 / $128,824.96
| Facility | | $93,325.43 | $125,892.54 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $31,622.78 / $74,131.02
| Facility | | $31,622.78 | $31,622.78 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $48,977.88 / $72,443.60
| Facility | | $33,884.42 | $48,977.88 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $50,118.72 / $85,113.80
| Facility | | $36,307.81 | $50,118.72 | $85,113.80 |