- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,968.90 / $45,527.90 / $80,116.00
| Facility | | $26,968.90 | $45,527.90 | $80,116.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,267.45 / $32,878.33 / $54,059.69
| Facility | | $22,267.45 | $32,878.33 | $54,059.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,532.41 / $41,269.87 / $56,625.92
| Facility | | $24,532.41 | $41,269.87 | $56,625.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,311.45 / $85,311.45 / $100,120.23
| Facility | | $85,311.45 | $85,311.45 | $100,120.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $36,156.43 / $56,370.98
| Facility | | $2,520.00 | $36,156.43 | $56,370.98 |