- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,250.00 / $63,334.60 / $76,475.00
| Facility | | $33,250.00 | $63,334.60 | $76,475.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $57,190.00 / $100,616.75
| Facility | | $12,397.00 | $57,190.00 | $100,616.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,335.26 / $53,270.50 / $58,392.88
| Facility | | $44,335.26 | $53,270.50 | $58,392.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,490.51 / $50,689.26 / $67,090.31
| Facility | | $35,490.51 | $50,689.26 | $67,090.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,755.76 / $62,287.65 / $95,351.05
| Facility | | $35,755.76 | $62,287.65 | $95,351.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,878.42 / $55,047.44 / $73,944.36
| Facility | | $39,878.42 | $55,047.44 | $73,944.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $55,878.62 / $80,398.50
| Facility | | $3,775.00 | $55,878.62 | $80,398.50 |