- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $72,443.60 / $134,896.29
| Facility | | $39,810.72 | $72,443.60 | $134,896.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $13,489.63 / $13,489.63
| Facility | | $13,489.63 | $13,489.63 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $77,624.71 / $131,825.67
| Facility | | $10,232.93 | $77,624.71 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $63,095.73 / $104,712.85
| Facility | | $100.00 | $63,095.73 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $61,659.50 / $109,647.82
| Facility | | $40,738.03 | $61,659.50 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112,201.85 / $112,201.85 / $112,201.85
| Facility | | $112,201.85 | $112,201.85 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $63,095.73 / $120,226.44
| Facility | | $41,686.94 | $63,095.73 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $61,659.50 / $123,026.88
| Facility | | $5,754.40 | $61,659.50 | $123,026.88 |