- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,223.50 / $73,725.39 / $129,831.00
| Facility | | $46,223.50 | $73,725.39 | $129,831.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $62,437.88 / $90,971.92
| Facility | | $6,600.00 | $62,437.88 | $90,971.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,741.10 / $57,325.46 / $96,033.55
| Facility | | $42,741.10 | $57,325.46 | $96,033.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,331.50 / $43,665.00 / $54,314.22
| Facility | | $29,331.50 | $43,665.00 | $54,314.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,481.28 / $57,962.08 / $88,350.90
| Facility | | $27,481.28 | $57,962.08 | $88,350.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $46,178.85 / $126,175.55
| Facility | | $3,775.00 | $46,178.85 | $126,175.55 |