- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $83,176.38 / $154,881.66
| Facility | | $48,977.88 | $83,176.38 | $154,881.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,622.78 / $85,113.80 / $131,825.67
| Facility | | $31,622.78 | $85,113.80 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $74,131.02 / $125,892.54
| Facility | | $100.00 | $74,131.02 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $72,443.60 / $128,824.96
| Facility | | $40,738.03 | $72,443.60 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128,824.96 / $128,824.96 / $128,824.96
| Facility | | $128,824.96 | $128,824.96 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $89,125.09 / $128,824.96
| Facility | | $40,738.03 | $89,125.09 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $51,286.14 / $51,286.14
| Facility | | $51,286.14 | $51,286.14 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $72,443.60 / $141,253.75
| Facility | | $5,754.40 | $72,443.60 | $141,253.75 |