- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,139.00 / $41,907.50 / $70,756.70
| Facility | | $19,139.00 | $41,907.50 | $70,756.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,800.63 / $66,481.05 / $86,205.46
| Facility | | $44,800.63 | $66,481.05 | $86,205.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,777.29 / $59,739.91 / $87,694.83
| Facility | | $41,777.29 | $59,739.91 | $87,694.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,742.14 / $59,071.76 / $123,875.36
| Facility | | $30,742.14 | $59,071.76 | $123,875.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,079.00 / $22,079.00 / $22,079.00
| Facility | | $22,079.00 | $22,079.00 | $22,079.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,777.29 / $65,042.44 / $88,178.30
| Facility | | $41,777.29 | $65,042.44 | $88,178.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $55,009.21 / $83,574.55
| Facility | | $9,114.00 | $55,009.21 | $83,574.55 |