- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $70,794.58 / $107,151.93
| Facility | | $51,286.14 | $70,794.58 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $61,659.50 / $91,201.08
| Facility | | $38,018.94 | $61,659.50 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $61,659.50 / $109,647.82
| Facility | | $43,651.58 | $61,659.50 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $295.12 / $691.83 / $1,096.48
| Facility | | $295.12 | $691.83 | $1,096.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $67,608.30 / $100,000.00
| Facility | | $42,657.95 | $67,608.30 | $100,000.00 |