- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,473.60 / $52,799.10 / $72,101.80
| Facility | | $30,473.60 | $52,799.10 | $72,101.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $60,936.10 / $133,329.00
| Facility | | $8,639.91 | $60,936.10 | $133,329.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,215.70 / $53,215.70 / $64,619.07
| Facility | | $53,215.70 | $53,215.70 | $64,619.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,450.62 / $128,297.71 / $208,000.00
| Facility | | $85,450.62 | $128,297.71 | $208,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,123.60 / $52,011.00 / $72,101.80
| Facility | | $29,123.60 | $52,011.00 | $72,101.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $23,570.52 / $34,134.79
| Facility | | $2,621.40 | $23,570.52 | $34,134.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,020.40 / $40,707.85 / $73,839.28
| Facility | | $15,020.40 | $40,707.85 | $73,839.28 |