- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,952.30 / $87,273.60 / $127,713.00
| Facility | | $49,952.30 | $87,273.60 | $127,713.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $125,253.49 / $178,426.00
| Facility | | $20,946.00 | $125,253.49 | $178,426.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,079.78 / $73,054.44 / $114,504.89
| Facility | | $42,079.78 | $73,054.44 | $114,504.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,231.24 / $87,231.24 / $105,923.64
| Facility | | $87,231.24 | $87,231.24 | $105,923.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78,366.00 / $121,428.31 / $160,392.42
| Facility | | $78,366.00 | $121,428.31 | $160,392.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,739.50 / $86,548.30 / $126,130.00
| Facility | | $47,739.50 | $86,548.30 | $126,130.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,131.71 / $70,756.92 / $111,413.79
| Facility | | $43,131.71 | $70,756.92 | $111,413.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $42,109.03 / $61,433.07
| Facility | | $2,621.40 | $42,109.03 | $61,433.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,621.46 / $66,728.35 / $121,037.44
| Facility | | $24,621.46 | $66,728.35 | $121,037.44 |