- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,384.00 / $63,568.10 / $89,113.60
| Facility | | $41,384.00 | $63,568.10 | $89,113.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,688.18 / $47,688.18 / $47,688.18
| Facility | | $47,688.18 | $47,688.18 | $47,688.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,737.94 / $58,867.35 / $89,185.30
| Facility | | $36,737.94 | $58,867.35 | $89,185.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,466.12 / $59,547.03 / $92,238.54
| Facility | | $38,466.12 | $59,547.03 | $92,238.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,009.07 / $59,547.03 / $89,818.63
| Facility | | $35,009.07 | $59,547.03 | $89,818.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,403.00 / $69,335.83 / $99,052.49
| Facility | | $10,403.00 | $69,335.83 | $99,052.49 |