- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,194.70 / $47,070.40 / $64,129.60
| Facility | | $29,194.70 | $47,070.40 | $64,129.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,487.12 / $42,171.43 / $97,078.44
| Facility | | $34,487.12 | $42,171.43 | $97,078.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $34,187.33 / $72,800.00
| Facility | | $100.00 | $34,187.33 | $72,800.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,099.10 / $49,634.00 / $87,067.96
| Facility | | $33,099.10 | $49,634.00 | $87,067.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,115.92 / $66,962.85 / $78,586.59
| Facility | | $46,115.92 | $66,962.85 | $78,586.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,388.08 / $41,685.11 / $87,827.36
| Facility | | $29,388.08 | $41,685.11 | $87,827.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,017.00 / $41,948.18 / $85,300.99
| Facility | | $5,017.00 | $41,948.18 | $85,300.99 |