- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,967.74 / $109,295.00 / $146,216.50
| Facility | | $67,967.74 | $109,295.00 | $146,216.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,058.56 / $107,575.50 / $197,407.25
| Facility | | $60,058.56 | $107,575.50 | $197,407.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,725.05 / $78,955.91 / $118,298.30
| Facility | | $48,725.05 | $78,955.91 | $118,298.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $520.00 / $1,400.00 / $2,587.00
| Facility | | $520.00 | $1,400.00 | $2,587.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,524.56 / $128,037.78 / $194,520.08
| Facility | | $62,524.56 | $128,037.78 | $194,520.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $28,082.44 / $192,881.85
| Facility | | $100.00 | $28,082.44 | $192,881.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,034.18 / $104,588.77 / $119,924.60
| Facility | | $86,034.18 | $104,588.77 | $119,924.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,886.08 / $98,236.31 / $158,652.10
| Facility | | $42,886.08 | $98,236.31 | $158,652.10 |