- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,622.40 / $85,632.80 / $114,913.00
| Facility | | $51,622.40 | $85,632.80 | $114,913.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,854.11 / $35,854.11 / $35,854.11
| Facility | | $35,854.11 | $35,854.11 | $35,854.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,653.12 / $71,697.92 / $114,719.43
| Facility | | $41,653.12 | $71,697.92 | $114,719.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,388.92 / $68,947.50 / $158,124.20
| Facility | | $42,388.92 | $68,947.50 | $158,124.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,276.71 / $67,917.88 / $96,213.94
| Facility | | $50,276.71 | $67,917.88 | $96,213.94 |