- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,646.00 / $63,510.50 / $129,098.00
| Facility | | $24,646.00 | $63,510.50 | $129,098.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,317.39 / $75,317.39 / $75,317.39
| Facility | | $75,317.39 | $75,317.39 | $75,317.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,668.37 / $61,006.83 / $69,746.57
| Facility | | $48,668.37 | $61,006.83 | $69,746.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,341.58 / $69,638.74 / $90,568.19
| Facility | | $39,341.58 | $69,638.74 | $90,568.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,615.01 / $86,615.01 / $86,615.01
| Facility | | $86,615.01 | $86,615.01 | $86,615.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $60,422.35 / $88,958.76
| Facility | | $1,518.00 | $60,422.35 | $88,958.76 |