- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $91,201.08 / $208,929.61
| Facility | | $47,863.01 | $91,201.08 | $208,929.61 |
- 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
- $19,054.61 / $93,325.43 / $229,086.77
| Facility | | $19,054.61 | $93,325.43 | $229,086.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.20 / $48,977.88 / $104,712.85
| Facility | | $91.20 | $48,977.88 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $87,096.36 / $181,970.09
| Facility | | $56,234.13 | $87,096.36 | $181,970.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141,253.75 / $141,253.75 / $141,253.75
| Facility | | $141,253.75 | $141,253.75 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $100,000.00 / $213,796.21
| Facility | | $56,234.13 | $100,000.00 | $213,796.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141,253.75 / $141,253.75 / $141,253.75
| Facility | | $141,253.75 | $141,253.75 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $77,624.71 / $218,776.16
| Facility | | $6,309.57 | $77,624.71 | $218,776.16 |