- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,615.70 / $81,562.80 / $137,014.00
| Facility | | $44,615.70 | $81,562.80 | $137,014.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $122,956.61 / $171,821.00
| Facility | | $20,946.00 | $122,956.61 | $171,821.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,299.64 / $77,179.44 / $107,012.26
| Facility | | $43,299.64 | $77,179.44 | $107,012.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,523.25 / $81,523.25 / $98,992.53
| Facility | | $81,523.25 | $81,523.25 | $98,992.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,387.82 / $132,936.51 / $1,029,868.51
| Facility | | $38,387.82 | $132,936.51 | $1,029,868.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,393.60 / $80,885.00 / $137,014.00
| Facility | | $43,393.60 | $80,885.00 | $137,014.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,741.83 / $72,380.46 / $104,291.19
| Facility | | $40,741.83 | $72,380.46 | $104,291.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $38,008.25 / $55,382.34
| Facility | | $2,621.40 | $38,008.25 | $55,382.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,010.36 / $65,853.00 / $113,117.35
| Facility | | $23,010.36 | $65,853.00 | $113,117.35 |