- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,130.00 / $76,439.60 / $92,299.00
| Facility | | $40,130.00 | $76,439.60 | $92,299.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $69,023.60 / $105,096.31
| Facility | | $12,397.00 | $69,023.60 | $105,096.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,134.28 / $62,329.12 / $76,986.14
| Facility | | $53,134.28 | $62,329.12 | $76,986.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,223.18 / $44,233.85 / $50,659.17
| Facility | | $25,223.18 | $44,233.85 | $50,659.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,368.73 / $60,005.30 / $94,137.08
| Facility | | $29,368.73 | $60,005.30 | $94,137.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $67,440.87 / $97,034.34
| Facility | | $3,775.00 | $67,440.87 | $97,034.34 |