- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,948.20 / $68,157.00 / $115,076.00
| Facility | | $20,948.20 | $68,157.00 | $115,076.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,650.00 / $102,706.72 / $151,250.63
| Facility | | $53,650.00 | $102,706.72 | $151,250.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,945.20 / $97,159.00 / $142,623.96
| Facility | | $67,945.20 | $97,159.00 | $142,623.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,997.99 / $94,531.06 / $189,468.96
| Facility | | $49,997.99 | $94,531.06 | $189,468.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,450.65 / $35,450.65 / $35,450.65
| Facility | | $35,450.65 | $35,450.65 | $35,450.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,531.56 / $107,444.25 / $167,304.14
| Facility | | $70,531.56 | $107,444.25 | $167,304.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,196.00 / $81,590.50 / $134,330.73
| Facility | | $23,196.00 | $81,590.50 | $134,330.73 |