- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $51,286.14 / $107,151.93
| Facility | | $33,884.42 | $51,286.14 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $27,542.29 / $45,708.82
| Facility | | $27,542.29 | $27,542.29 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $48,977.88 / $91,201.08
| Facility | | $36,307.81 | $48,977.88 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $41,686.94 / $83,176.38
| Facility | | $100.00 | $41,686.94 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $50,118.72 / $89,125.09
| Facility | | $31,622.78 | $50,118.72 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,201.08 / $91,201.08 / $91,201.08
| Facility | | $91,201.08 | $91,201.08 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $56,234.13 / $91,201.08
| Facility | | $34,673.69 | $56,234.13 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $29,512.09 / $29,512.09
| Facility | | $29,512.09 | $29,512.09 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $38,018.94 / $81,283.05
| Facility | | $7,943.28 | $38,018.94 | $81,283.05 |