- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $72,443.60 / $100,000.00
| Facility | | $38,904.51 | $72,443.60 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $54,954.09 / $89,125.09
| Facility | | $38,018.94 | $54,954.09 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $77,624.71 / $107,151.93
| Facility | | $38,018.94 | $77,624.71 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $53,703.18 / $114,815.36
| Facility | | $7,079.46 | $53,703.18 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $56,234.13 / $112,201.85
| Facility | | $6,456.54 | $56,234.13 | $112,201.85 |