- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $79,432.82 / $204,173.79
| Facility | | $41,686.94 | $79,432.82 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $117,489.76 / $223,872.11
| Facility | | $46,773.51 | $117,489.76 | $223,872.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $70,794.58 / $213,796.21
| Facility | | $100.00 | $70,794.58 | $213,796.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $69,183.10 / $141,253.75
| Facility | | $46,773.51 | $69,183.10 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $173,780.08 / $173,780.08 / $173,780.08
| Facility | | $173,780.08 | $173,780.08 | $173,780.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $75,857.76 / $199,526.23
| Facility | | $44,668.36 | $75,857.76 | $199,526.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134,896.29 / $134,896.29 / $134,896.29
| Facility | | $134,896.29 | $134,896.29 | $134,896.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $63,095.73 / $147,910.84
| Facility | | $8,317.64 | $63,095.73 | $147,910.84 |