- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,461.80 / $31,541.30 / $48,697.00
| Facility | | $21,461.80 | $31,541.30 | $48,697.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,333.80 / $50,333.80 / $50,333.80
| Facility | | $50,333.80 | $50,333.80 | $50,333.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,801.30 / $76,486.58 / $98,059.72
| Facility | | $53,801.30 | $76,486.58 | $98,059.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,154.48 / $45,595.01 / $55,948.06
| Facility | | $24,154.48 | $45,595.01 | $55,948.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,461.80 / $32,261.20 / $51,587.10
| Facility | | $21,461.80 | $32,261.20 | $51,587.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,099.32 / $42,920.14 / $65,208.17
| Facility | | $25,099.32 | $42,920.14 | $65,208.17 |