- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,790.00 / $100,554.00 / $121,417.00
| Facility | | $52,790.00 | $100,554.00 | $121,417.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $90,798.80 / $152,780.90
| Facility | | $12,397.00 | $90,798.80 | $152,780.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,802.17 / $81,249.70 / $91,619.24
| Facility | | $68,802.17 | $81,249.70 | $91,619.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,607.90 / $70,731.89 / $85,408.04
| Facility | | $47,607.90 | $70,731.89 | $85,408.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,727.46 / $89,802.30 / $139,313.10
| Facility | | $42,727.46 | $89,802.30 | $139,313.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,937.75 / $80,301.50 / $105,911.12
| Facility | | $57,937.75 | $80,301.50 | $105,911.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $88,716.76 / $127,646.22
| Facility | | $3,775.00 | $88,716.76 | $127,646.22 |