- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,742.80 / $53,340.70 / $86,494.80
| Facility | | $33,742.80 | $53,340.70 | $86,494.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,724.41 / $43,412.36 / $99,205.28
| Facility | | $24,724.41 | $43,412.36 | $99,205.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $38,974.83 / $75,666.17
| Facility | | $100.00 | $38,974.83 | $75,666.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,757.74 / $58,159.11 / $99,067.23
| Facility | | $38,757.74 | $58,159.11 | $99,067.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,503.33 / $74,785.64 / $87,767.31
| Facility | | $51,503.33 | $74,785.64 | $87,767.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,929.72 / $47,310.97 / $99,067.23
| Facility | | $32,929.72 | $47,310.97 | $99,067.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $43,347.16 / $88,743.41
| Facility | | $5,693.00 | $43,347.16 | $88,743.41 |