- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $48,977.88 / $100,000.00
| Facility | | $41,686.94 | $48,977.88 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $43,651.58 / $70,794.58
| Facility | | $26,302.68 | $43,651.58 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $37,153.52 / $54,954.09
| Facility | | $30,902.95 | $37,153.52 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $32,359.37 / $40,738.03
| Facility | | $26,302.68 | $32,359.37 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $42,657.95 / $67,608.30
| Facility | | $33,113.11 | $42,657.95 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $37,153.52 / $45,708.82
| Facility | | $26,915.35 | $37,153.52 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $39,810.72 / $48,977.88
| Facility | | $30,902.95 | $39,810.72 | $48,977.88 |