- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,500.60 / $49,500.60 / $58,668.00
| Facility | | $49,500.60 | $49,500.60 | $58,668.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,009.53 / $55,335.33 / $82,778.28
| Facility | | $34,009.53 | $55,335.33 | $82,778.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,485.37 / $50,109.22 / $85,255.03
| Facility | | $40,485.37 | $50,109.22 | $85,255.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,221.57 / $58,117.60 / $95,130.13
| Facility | | $36,221.57 | $58,117.60 | $95,130.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.30 / $31,575.16 / $48,542.70
| Facility | | $500.30 | $31,575.16 | $48,542.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,218.37 / $57,417.72 / $67,480.21
| Facility | | $41,218.37 | $57,417.72 | $67,480.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,199.57 / $60,791.12 / $77,203.53
| Facility | | $37,199.57 | $60,791.12 | $77,203.53 |