- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $42,657.95 / $97,723.72
| Facility | | $29,512.09 | $42,657.95 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $45,708.82 / $45,708.82
| Facility | | $45,708.82 | $45,708.82 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $40,738.03 / $77,624.71
| Facility | | $25,118.86 | $40,738.03 | $77,624.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $50,118.72 / $60,255.96
| Facility | | $35,481.34 | $50,118.72 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $66,069.34 / $100,000.00
| Facility | | $37,153.52 | $66,069.34 | $100,000.00 |