- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,402.19 / $66,752.50 / $90,944.80
| Facility | | $41,402.19 | $66,752.50 | $90,944.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,797.45 / $60,893.15 / $140,175.75
| Facility | | $49,797.45 | $60,893.15 | $140,175.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $49,686.44 / $95,200.00
| Facility | | $100.00 | $49,686.44 | $95,200.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,935.79 / $70,388.00 / $123,474.63
| Facility | | $46,935.79 | $70,388.00 | $123,474.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,588.78 / $96,690.55 / $113,474.57
| Facility | | $66,588.78 | $96,690.55 | $113,474.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,171.86 / $59,541.21 / $124,551.57
| Facility | | $42,171.86 | $59,541.21 | $124,551.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $54,497.91 / $111,572.02
| Facility | | $5,693.00 | $54,497.91 | $111,572.02 |