- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,507.90 / $52,633.00 / $88,937.10
| Facility | | $32,507.90 | $52,633.00 | $88,937.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,380.07 / $45,380.07 / $45,380.07
| Facility | | $45,380.07 | $45,380.07 | $45,380.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,850.20 / $43,653.00 / $69,492.50
| Facility | | $27,850.20 | $43,653.00 | $69,492.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,698.42 / $50,940.31 / $96,657.48
| Facility | | $26,698.42 | $50,940.31 | $96,657.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,891.37 / $55,727.00 / $79,000.00
| Facility | | $35,891.37 | $55,727.00 | $79,000.00 |