- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,385.50 / $43,091.10 / $58,708.20
| Facility | | $27,385.50 | $43,091.10 | $58,708.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,926.36 / $37,817.26 / $87,055.18
| Facility | | $30,926.36 | $37,817.26 | $87,055.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $31,840.26 / $69,219.28
| Facility | | $100.00 | $31,840.26 | $69,219.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,404.26 / $45,438.00 / $79,707.34
| Facility | | $29,404.26 | $45,438.00 | $79,707.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,354.50 / $60,049.00 / $70,472.60
| Facility | | $41,354.50 | $60,049.00 | $70,472.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,415.80 / $38,161.10 / $80,402.53
| Facility | | $26,415.80 | $38,161.10 | $80,402.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,717.00 / $32,892.00 / $69,363.38
| Facility | | $5,717.00 | $32,892.00 | $69,363.38 |