- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $87,096.36 / $128,824.96
| Facility | | $48,977.88 | $87,096.36 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $100,000.00 / $141,253.75
| Facility | | $28,840.32 | $100,000.00 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $81,283.05 / $112,201.85
| Facility | | $44,668.36 | $81,283.05 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93,325.43 / $93,325.43 / $114,815.36
| Facility | | $93,325.43 | $93,325.43 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $87,096.36 / $109,647.82
| Facility | | $38,904.51 | $87,096.36 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $85,113.80 / $147,910.84
| Facility | | $26,302.68 | $85,113.80 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $81,283.05 / $125,892.54
| Facility | | $47,863.01 | $81,283.05 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,387.21 / $64,565.42 / $112,201.85
| Facility | | $22,387.21 | $64,565.42 | $112,201.85 |