- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $83,176.38 / $158,489.32
| Facility | | $46,773.51 | $83,176.38 | $158,489.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $89,125.09 / $151,356.12
| Facility | | $51,286.14 | $89,125.09 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $57,543.99 / $128,824.96
| Facility | | $100.00 | $57,543.99 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $74,131.02 / $128,824.96
| Facility | | $48,977.88 | $74,131.02 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128,824.96 / $128,824.96 / $128,824.96
| Facility | | $128,824.96 | $128,824.96 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $83,176.38 / $147,910.84
| Facility | | $50,118.72 | $83,176.38 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $70,794.58 / $144,543.98
| Facility | | $5,754.40 | $70,794.58 | $144,543.98 |