- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,961.00 / $63,656.10 / $140,242.00
| Facility | | $32,961.00 | $63,656.10 | $140,242.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,019.43 / $22,019.43 / $22,019.43
| Facility | | $22,019.43 | $22,019.43 | $22,019.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,307.88 / $71,661.74 / $113,053.33
| Facility | | $45,307.88 | $71,661.74 | $113,053.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,678.30 / $69,372.55 / $129,813.35
| Facility | | $38,678.30 | $69,372.55 | $129,813.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,508.67 / $81,549.85 / $108,561.48
| Facility | | $52,508.67 | $81,549.85 | $108,561.48 |