- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,627.00 / $50,007.50 / $84,432.70
| Facility | | $21,627.00 | $50,007.50 | $84,432.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,587.00 / $66,933.17 / $102,268.07
| Facility | | $1,587.00 | $66,933.17 | $102,268.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,852.07 / $71,286.53 / $105,221.53
| Facility | | $49,852.07 | $71,286.53 | $105,221.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,787.62 / $70,833.67 / $139,015.26
| Facility | | $39,787.62 | $70,833.67 | $139,015.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,858.94 / $26,858.94 / $26,858.94
| Facility | | $26,858.94 | $26,858.94 | $26,858.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,157.50 / $77,613.94 / $106,449.98
| Facility | | $42,157.50 | $77,613.94 | $106,449.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,519.59 / $62,501.48 / $99,087.91
| Facility | | $22,519.59 | $62,501.48 | $99,087.91 |