- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,910.00 / $76,020.60 / $91,793.00
| Facility | | $39,910.00 | $76,020.60 | $91,793.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $68,645.20 / $119,174.53
| Facility | | $12,397.00 | $68,645.20 | $119,174.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,936.29 / $63,559.88 / $69,313.60
| Facility | | $52,936.29 | $63,559.88 | $69,313.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,453.32 / $60,038.40 / $76,160.78
| Facility | | $42,453.32 | $60,038.40 | $76,160.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,322.30 / $73,606.39 / $112,541.40
| Facility | | $42,322.30 | $73,606.39 | $112,541.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,233.60 / $66,165.17 / $86,028.17
| Facility | | $47,233.60 | $66,165.17 | $86,028.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $68,986.83 / $96,502.38
| Facility | | $3,775.00 | $68,986.83 | $96,502.38 |