- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,635.40 / $59,983.50 / $96,581.00
| Facility | | $19,635.40 | $59,983.50 | $96,581.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,723.51 / $48,723.51 / $48,723.51
| Facility | | $48,723.51 | $48,723.51 | $48,723.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $33,946.62 / $86,184.94
| Facility | | $1,474.01 | $33,946.62 | $86,184.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,420.30 / $62,716.56 / $88,845.54
| Facility | | $43,420.30 | $62,716.56 | $88,845.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,634.97 / $51,320.35 / $108,640.53
| Facility | | $35,634.97 | $51,320.35 | $108,640.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,634.97 / $52,602.11 / $111,897.31
| Facility | | $35,634.97 | $52,602.11 | $111,897.31 |