- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,499.30 / $74,251.70 / $120,690.00
| Facility | | $43,499.30 | $74,251.70 | $120,690.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,700.44 / $13,700.44 / $13,700.44
| Facility | | $13,700.44 | $13,700.44 | $13,700.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,300.42 / $58,996.66 / $93,072.93
| Facility | | $37,300.42 | $58,996.66 | $93,072.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,208.47 / $44,419.75 / $93,867.38
| Facility | | $20,208.47 | $44,419.75 | $93,867.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,485.10 / $67,144.32 / $98,883.53
| Facility | | $43,485.10 | $67,144.32 | $98,883.53 |