- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,991.20 / $62,991.20 / $74,657.00
| Facility | | $62,991.20 | $62,991.20 | $74,657.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,809.55 / $72,907.53 / $109,065.22
| Facility | | $44,809.55 | $72,907.53 | $109,065.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,519.01 / $63,765.68 / $108,489.92
| Facility | | $51,519.01 | $63,765.68 | $108,489.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,093.18 / $74,460.11 / $121,056.32
| Facility | | $46,093.18 | $74,460.11 | $121,056.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $659.17 / $41,602.12 / $61,772.23
| Facility | | $659.17 | $41,602.12 | $61,772.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,451.78 / $73,065.99 / $85,870.86
| Facility | | $52,451.78 | $73,065.99 | $85,870.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,337.71 / $77,935.56 / $98,244.12
| Facility | | $47,337.71 | $77,935.56 | $98,244.12 |