- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,802.00 / $52,562.80 / $79,006.30
| Facility | | $8,802.00 | $52,562.80 | $79,006.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,219.00 / $36,605.30 / $77,633.38
| Facility | | $10,219.00 | $36,605.30 | $77,633.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $34,535.19 / $68,027.94
| Facility | | $100.00 | $34,535.19 | $68,027.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,792.75 / $59,763.00 / $100,236.86
| Facility | | $36,792.75 | $59,763.00 | $100,236.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,948.33 / $71,075.64 / $83,413.31
| Facility | | $48,948.33 | $71,075.64 | $83,413.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,322.41 / $51,673.12 / $98,087.51
| Facility | | $31,322.41 | $51,673.12 | $98,087.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $40,797.94 / $93,345.48
| Facility | | $5,760.00 | $40,797.94 | $93,345.48 |