- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,451.19 / $75,148.20 / $107,838.00
| Facility | | $41,451.19 | $75,148.20 | $107,838.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $91,950.84 / $126,613.00
| Facility | | $20,946.00 | $91,950.84 | $126,613.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,109.17 / $63,431.70 / $96,894.22
| Facility | | $35,109.17 | $63,431.70 | $96,894.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,741.13 / $75,741.13 / $91,971.37
| Facility | | $75,741.13 | $75,741.13 | $91,971.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,641.11 / $59,284.98 / $95,368.10
| Facility | | $29,641.11 | $59,284.98 | $95,368.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,377.69 / $75,148.20 / $107,402.00
| Facility | | $41,377.69 | $75,148.20 | $107,402.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,109.17 / $61,533.35 / $96,797.25
| Facility | | $35,109.17 | $61,533.35 | $96,797.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $35,061.48 / $51,034.36
| Facility | | $2,621.40 | $35,061.48 | $51,034.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,378.32 / $57,479.23 / $105,094.38
| Facility | | $21,378.32 | $57,479.23 | $105,094.38 |