- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,308.91 / $57,390.02 / $57,390.02
| Facility | | $50,308.91 | $57,390.02 | $57,390.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,324.43 / $53,196.14 / $103,017.01
| Facility | | $31,324.43 | $53,196.14 | $103,017.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,166.00 / $50,540.07 / $96,827.12
| Facility | | $30,166.00 | $50,540.07 | $96,827.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,999.45 / $67,829.35 / $99,649.14
| Facility | | $44,999.45 | $67,829.35 | $99,649.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,241.25 / $55,241.25 / $96,134.98
| Facility | | $55,241.25 | $55,241.25 | $96,134.98 |