- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,581.70 / $86,262.20 / $117,799.00
| Facility | | $47,581.70 | $86,262.20 | $117,799.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $84,291.19 / $123,400.74
| Facility | | $20,946.00 | $84,291.19 | $123,400.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,301.65 / $72,812.94 / $111,224.40
| Facility | | $40,301.65 | $72,812.94 | $111,224.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,942.87 / $86,942.87 / $105,573.49
| Facility | | $86,942.87 | $86,942.87 | $105,573.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,768.94 / $80,775.53 / $139,526.19
| Facility | | $38,768.94 | $80,775.53 | $139,526.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,629.70 / $84,420.80 / $117,704.00
| Facility | | $43,629.70 | $84,420.80 | $117,704.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,301.65 / $70,523.03 / $108,203.64
| Facility | | $40,301.65 | $70,523.03 | $108,203.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $39,137.40 / $57,048.40
| Facility | | $2,621.40 | $39,137.40 | $57,048.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,540.07 / $65,980.13 / $115,783.13
| Facility | | $24,540.07 | $65,980.13 | $115,783.13 |