- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,670.00 / $86,542.90 / $118,778.00
| Facility | | $43,670.00 | $86,542.90 | $118,778.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,392.42 / $42,392.42 / $42,392.42
| Facility | | $42,392.42 | $42,392.42 | $42,392.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,229.62 / $70,637.19 / $161,419.06
| Facility | | $40,229.62 | $70,637.19 | $161,419.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,987.00 / $67,165.30 / $119,008.29
| Facility | | $1,987.00 | $67,165.30 | $119,008.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,992.47 / $90,757.89 / $162,670.14
| Facility | | $63,992.47 | $90,757.89 | $162,670.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,802.17 / $121,685.35 / $142,808.09
| Facility | | $83,802.17 | $121,685.35 | $142,808.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,248.25 / $77,207.41 / $162,670.14
| Facility | | $53,248.25 | $77,207.41 | $162,670.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $61,335.70 / $140,335.74
| Facility | | $5,693.00 | $61,335.70 | $140,335.74 |