- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,809.76 / $58,629.50 / $89,270.30
| Facility | | $22,809.76 | $58,629.50 | $89,270.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,818.82 / $52,902.13 / $120,891.16
| Facility | | $28,818.82 | $52,902.13 | $120,891.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $44,552.73 / $87,748.00
| Facility | | $100.00 | $44,552.73 | $87,748.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,753.06 / $66,559.78 / $121,201.19
| Facility | | $32,753.06 | $66,559.78 | $121,201.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,761.75 / $91,133.50 / $106,952.90
| Facility | | $62,761.75 | $91,133.50 | $106,952.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,844.46 / $58,386.19 / $122,258.29
| Facility | | $39,844.46 | $58,386.19 | $122,258.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $42,584.85 / $105,472.39
| Facility | | $5,760.00 | $42,584.85 | $105,472.39 |