- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,750.80 / $48,440.60 / $80,422.80
| Facility | | $37,750.80 | $48,440.60 | $80,422.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,288.76 / $43,305.60 / $71,789.61
| Facility | | $28,288.76 | $43,305.60 | $71,789.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,754.26 / $52,950.75 / $77,669.00
| Facility | | $41,754.26 | $52,950.75 | $77,669.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,963.68 / $49,632.50 / $126,496.14
| Facility | | $24,963.68 | $49,632.50 | $126,496.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,963.68 / $49,524.53 / $69,604.28
| Facility | | $24,963.68 | $49,524.53 | $69,604.28 |