- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,928.40 / $61,538.10 / $99,787.50
| Facility | | $38,928.40 | $61,538.10 | $99,787.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,908.53 / $47,247.34 / $107,968.92
| Facility | | $26,908.53 | $47,247.34 | $107,968.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $34,148.15 / $79,555.47
| Facility | | $100.00 | $34,148.15 | $79,555.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,053.05 / $81,392.10 / $106,447.00
| Facility | | $56,053.05 | $81,392.10 | $106,447.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,746.06 / $36,926.51 / $41,728.15
| Facility | | $30,746.06 | $36,926.51 | $41,728.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $228,018.00 / $228,018.00 / $228,018.00
| Facility | | $228,018.00 | $228,018.00 | $228,018.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $50,008.81 / $102,381.61
| Facility | | $5,693.00 | $50,008.81 | $102,381.61 |