- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $25,118.86 / $25,118.86
| Facility | | $25,118.86 | $25,118.86 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $44,668.36 / $69,183.10
| Facility | | $27,542.29 | $44,668.36 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $100,000.00 / $104,712.85
| Facility | | $75,857.76 | $100,000.00 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $47,863.01 / $56,234.13
| Facility | | $25,118.86 | $47,863.01 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $41,686.94 / $61,659.50
| Facility | | $28,183.83 | $41,686.94 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $37,153.52 / $40,738.03
| Facility | | $29,512.09 | $37,153.52 | $40,738.03 |