- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,881.10 / $62,619.10 / $82,303.00
| Facility | | $42,881.10 | $62,619.10 | $82,303.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,876.38 / $37,790.60 / $63,917.71
| Facility | | $13,876.38 | $37,790.60 | $63,917.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,601.96 / $84,262.55 / $84,262.55
| Facility | | $45,601.96 | $84,262.55 | $84,262.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,938.54 / $70,194.31 / $102,489.42
| Facility | | $53,938.54 | $70,194.31 | $102,489.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,938.54 / $65,254.97 / $102,489.42
| Facility | | $53,938.54 | $65,254.97 | $102,489.42 |