- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $67,608.30 / $123,026.88
| Facility | | $38,904.51 | $67,608.30 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $72,443.60 / $123,026.88
| Facility | | $10,232.93 | $72,443.60 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $58,884.37 / $102,329.30
| Facility | | $100.00 | $58,884.37 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $64,565.42 / $102,329.30
| Facility | | $40,738.03 | $64,565.42 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,712.85 / $104,712.85 / $104,712.85
| Facility | | $104,712.85 | $104,712.85 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $66,069.34 / $117,489.76
| Facility | | $41,686.94 | $66,069.34 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $58,884.37 / $112,201.85
| Facility | | $5,754.40 | $58,884.37 | $112,201.85 |