- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,128.07 / $48,413.00 / $62,985.50
| Facility | | $36,128.07 | $48,413.00 | $62,985.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,907.81 / $48,761.33 / $64,677.36
| Facility | | $31,907.81 | $48,761.33 | $64,677.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,778.54 / $53,200.81 / $74,741.62
| Facility | | $39,778.54 | $53,200.81 | $74,741.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,890.00 / $25,890.00 / $25,890.00
| Facility | | $25,890.00 | $25,890.00 | $25,890.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,845.00 / $55,097.70 / $69,623.42
| Facility | | $10,845.00 | $55,097.70 | $69,623.42 |