- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,806.40 / $90,295.50 / $123,306.00
| Facility | | $49,806.40 | $90,295.50 | $123,306.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $86,666.81 / $140,251.00
| Facility | | $20,946.00 | $86,666.81 | $140,251.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,186.00 / $76,217.39 / $123,697.46
| Facility | | $42,186.00 | $76,217.39 | $123,697.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,007.99 / $91,007.99 / $110,509.71
| Facility | | $91,007.99 | $91,007.99 | $110,509.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113,889.54 / $113,889.54 / $228,207.12
| Facility | | $113,889.54 | $113,889.54 | $228,207.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,718.00 / $84,479.80 / $122,025.00
| Facility | | $49,718.00 | $84,479.80 | $122,025.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,186.00 / $73,820.42 / $123,697.46
| Facility | | $42,186.00 | $73,820.42 | $123,697.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $46,699.43 / $68,206.23
| Facility | | $2,621.40 | $46,699.43 | $68,206.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,652.81 / $71,272.00 / $126,277.87
| Facility | | $25,652.81 | $71,272.00 | $126,277.87 |