- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,790.00 / $43,872.00 / $83,391.50
| Facility | | $11,790.00 | $43,872.00 | $83,391.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,879.00 / $43,937.00 / $93,182.63
| Facility | | $7,879.00 | $43,937.00 | $93,182.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $44,096.78 / $87,561.94
| Facility | | $100.00 | $44,096.78 | $87,561.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,832.00 / $61,066.41 / $107,203.63
| Facility | | $28,832.00 | $61,066.41 | $107,203.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,752.23 / $85,311.45 / $100,120.23
| Facility | | $58,752.23 | $85,311.45 | $100,120.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,691.33 / $54,541.22 / $107,203.63
| Facility | | $34,691.33 | $54,541.22 | $107,203.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $45,501.00 / $98,526.59
| Facility | | $5,760.00 | $45,501.00 | $98,526.59 |