- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,527.00 / $57,721.20 / $75,865.60
| Facility | | $39,527.00 | $57,721.20 | $75,865.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,259.16 / $47,003.21 / $79,499.60
| Facility | | $17,259.16 | $47,003.21 | $79,499.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,604.04 / $58,244.95 / $103,892.54
| Facility | | $41,604.04 | $58,244.95 | $103,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,719.65 / $64,703.94 / $94,473.03
| Facility | | $49,719.65 | $64,703.94 | $94,473.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,133.78 / $62,263.56 / $89,749.02
| Facility | | $41,133.78 | $62,263.56 | $89,749.02 |