- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,235.30 / $60,610.80 / $100,628.00
| Facility | | $47,235.30 | $60,610.80 | $100,628.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,444.65 / $10,444.65 / $10,444.65
| Facility | | $10,444.65 | $10,444.65 | $10,444.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,771.33 / $59,352.76 / $98,505.41
| Facility | | $38,771.33 | $59,352.76 | $98,505.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,244.61 / $66,254.10 / $101,295.00
| Facility | | $52,244.61 | $66,254.10 | $101,295.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,696.00 / $62,102.18 / $104,042.32
| Facility | | $23,696.00 | $62,102.18 | $104,042.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,235.56 / $61,967.07 / $87,091.66
| Facility | | $31,235.56 | $61,967.07 | $87,091.66 |