- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,902.60 / $67,820.60 / $109,975.00
| Facility | | $42,902.60 | $67,820.60 | $109,975.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,957.27 / $57,563.18 / $131,542.51
| Facility | | $43,957.27 | $57,563.18 | $131,542.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $52,548.18 / $94,579.51
| Facility | | $100.00 | $52,548.18 | $94,579.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,551.18 / $72,575.64 / $125,960.09
| Facility | | $49,551.18 | $72,575.64 | $125,960.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,291.50 / $99,163.00 / $116,376.20
| Facility | | $68,291.50 | $99,163.00 | $116,376.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,516.07 / $60,488.60 / $125,960.09
| Facility | | $43,516.07 | $60,488.60 | $125,960.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $55,114.21 / $112,833.76
| Facility | | $5,693.00 | $55,114.21 | $112,833.76 |