- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,641.30 / $59,076.50 / $80,487.00
| Facility | | $36,641.30 | $59,076.50 | $80,487.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,832.68 / $45,358.31 / $103,652.13
| Facility | | $25,832.68 | $45,358.31 | $103,652.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $40,179.74 / $77,300.00
| Facility | | $100.00 | $40,179.74 | $77,300.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,694.11 / $61,064.79 / $109,276.13
| Facility | | $40,694.11 | $61,064.79 | $109,276.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,811.95 / $78,137.89 / $91,701.46
| Facility | | $53,811.95 | $78,137.89 | $91,701.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,384.31 / $52,317.62 / $102,115.44
| Facility | | $34,384.31 | $52,317.62 | $102,115.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $50,940.92 / $95,094.91
| Facility | | $5,760.00 | $50,940.92 | $95,094.91 |