- 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
- $19,952.62 / $33,113.11 / $56,234.13
| Facility | | $19,952.62 | $33,113.11 | $56,234.13 |
- 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 / $25,118.86 / $56,234.13
| Facility | | $25,118.86 | $25,118.86 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $38,018.94 / $56,234.13
| Facility | | $26,302.68 | $38,018.94 | $56,234.13 |
- 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 |