- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,796.80 / $50,067.00 / $87,598.40
| Facility | | $37,796.80 | $50,067.00 | $87,598.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,473.50 / $39,473.50 / $39,473.50
| Facility | | $39,473.50 | $39,473.50 | $39,473.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $41,574.91 / $83,831.71
| Facility | | $5,939.30 | $41,574.91 | $83,831.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,239.00 / $48,035.16 / $78,210.00
| Facility | | $21,239.00 | $48,035.16 | $78,210.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $43,051.84 / $88,628.52
| Facility | | $3,496.00 | $43,051.84 | $88,628.52 |