- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,007.40 / $89,330.50 / $157,311.00
| Facility | | $56,007.40 | $89,330.50 | $157,311.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,942.47 / $53,942.47 / $53,942.47
| Facility | | $53,942.47 | $53,942.47 | $53,942.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $64,988.18 / $94,998.12
| Facility | | $6,600.00 | $64,988.18 | $94,998.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,787.90 / $69,459.25 / $116,360.50
| Facility | | $51,787.90 | $69,459.25 | $116,360.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,529.56 / $45,448.52 / $56,717.88
| Facility | | $30,529.56 | $45,448.52 | $56,717.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,603.76 / $60,424.13 / $91,959.64
| Facility | | $28,603.76 | $60,424.13 | $91,959.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $55,953.30 / $152,882.51
| Facility | | $3,775.00 | $55,953.30 | $152,882.51 |