- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $56,234.13 / $114,815.36
| Facility | | $30,902.95 | $56,234.13 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $95,499.26 / $141,253.75
| Facility | | $33,884.42 | $95,499.26 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $58,884.37 / $123,026.88
| Facility | | $100.00 | $58,884.37 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $50,118.72 / $112,201.85
| Facility | | $28,840.32 | $50,118.72 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,499.26 / $95,499.26 / $95,499.26
| Facility | | $95,499.26 | $95,499.26 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $53,703.18 / $144,543.98
| Facility | | $29,512.09 | $53,703.18 | $144,543.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,113.80 / $85,113.80 / $85,113.80
| Facility | | $85,113.80 | $85,113.80 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $43,651.58 / $117,489.76
| Facility | | $8,317.64 | $43,651.58 | $117,489.76 |