- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,380.00 / $76,915.80 / $92,874.00
| Facility | | $40,380.00 | $76,915.80 | $92,874.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $68,329.42 / $108,423.52
| Facility | | $12,397.00 | $68,329.42 | $108,423.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,878.78 / $62,923.54 / $73,110.41
| Facility | | $53,878.78 | $62,923.54 | $73,110.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,352.40 / $52,462.00 / $99,999.00
| Facility | | $41,352.40 | $52,462.00 | $99,999.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,317.11 / $60,504.80 / $96,588.96
| Facility | | $31,317.11 | $60,504.80 | $96,588.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $67,861.00 / $97,638.84
| Facility | | $3,775.00 | $67,861.00 | $97,638.84 |