- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,877.90 / $80,018.70 / $130,064.00
| Facility | | $46,877.90 | $80,018.70 | $130,064.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,530.62 / $44,530.62 / $44,530.62
| Facility | | $44,530.62 | $44,530.62 | $44,530.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,047.74 / $63,578.81 / $100,301.71
| Facility | | $40,047.74 | $63,578.81 | $100,301.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,278.11 / $47,407.66 / $101,157.88
| Facility | | $21,278.11 | $47,407.66 | $101,157.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,586.07 / $72,351.61 / $96,316.52
| Facility | | $46,586.07 | $72,351.61 | $96,316.52 |