- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $44,668.36 / $91,201.08
| Facility | | $25,703.96 | $44,668.36 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $50,118.72 / $87,096.36
| Facility | | $12,882.50 | $50,118.72 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $47,863.01 / $75,857.76
| Facility | | $100.00 | $47,863.01 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,703.96 / $38,018.94 / $74,131.02
| Facility | | $25,703.96 | $38,018.94 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $75,857.76 / $75,857.76
| Facility | | $75,857.76 | $75,857.76 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $41,686.94 / $83,176.38
| Facility | | $28,840.32 | $41,686.94 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $41,686.94 / $81,283.05
| Facility | | $5,754.40 | $41,686.94 | $81,283.05 |