- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,247.70 / $80,129.70 / $109,424.00
| Facility | | $46,247.70 | $80,129.70 | $109,424.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $77,327.62 / $122,039.09
| Facility | | $20,946.00 | $77,327.62 | $122,039.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,636.47 / $67,636.56 / $109,041.90
| Facility | | $36,636.47 | $67,636.56 | $109,041.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80,761.97 / $80,761.97 / $98,068.11
| Facility | | $80,761.97 | $80,761.97 | $98,068.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,199.00 / $78,419.20 / $108,287.00
| Facility | | $44,199.00 | $78,419.20 | $108,287.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,636.47 / $65,612.36 / $108,753.06
| Facility | | $36,636.47 | $65,612.36 | $108,753.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $41,111.71 / $59,961.51
| Facility | | $2,621.40 | $41,111.71 | $59,961.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,398.48 / $61,779.63 / $112,061.04
| Facility | | $22,398.48 | $61,779.63 | $112,061.04 |