- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,325.00 / $67,200.20 / $92,607.20
| Facility | | $41,325.00 | $67,200.20 | $92,607.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,473.71 / $72,453.49 / $106,908.09
| Facility | | $33,473.71 | $72,453.49 | $106,908.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,051.55 / $50,317.10 / $75,389.25
| Facility | | $31,051.55 | $50,317.10 | $75,389.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $650.00 / $2,565.00 / $62,290.19
| Facility | | $650.00 | $2,565.00 | $62,290.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,251.39 / $68,091.38 / $125,960.67
| Facility | | $38,251.39 | $68,091.38 | $125,960.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.70 / $54,737.86 / $117,085.87
| Facility | | $89.70 | $54,737.86 | $117,085.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,285.41 / $69,087.11 / $108,961.00
| Facility | | $46,285.41 | $69,087.11 | $108,961.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,146.70 / $62,603.51 / $99,008.94
| Facility | | $21,146.70 | $62,603.51 | $99,008.94 |