- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,100.00 / $40,598.00 / $84,951.40
| Facility | | $40,100.00 | $40,598.00 | $84,951.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,620.57 / $73,746.69 / $98,952.14
| Facility | | $53,620.57 | $73,746.69 | $98,952.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,932.67 / $60,331.23 / $84,574.47
| Facility | | $43,932.67 | $60,331.23 | $84,574.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,247.36 / $67,004.59 / $84,470.89
| Facility | | $38,247.36 | $67,004.59 | $84,470.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,247.36 / $67,562.37 / $88,594.43
| Facility | | $38,247.36 | $67,562.37 | $88,594.43 |