- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,557.90 / $78,838.80 / $100,458.00
| Facility | | $50,557.90 | $78,838.80 | $100,458.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,571.60 / $22,571.60 / $22,571.60
| Facility | | $22,571.60 | $22,571.60 | $22,571.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,203.66 / $80,760.28 / $95,125.14
| Facility | | $45,203.66 | $80,760.28 | $95,125.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,032.12 / $81,903.71 / $114,741.10
| Facility | | $43,032.12 | $81,903.71 | $114,741.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,829.66 / $89,345.57 / $114,741.10
| Facility | | $77,829.66 | $89,345.57 | $114,741.10 |