- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,197.69 / $55,640.60 / $90,224.30
| Facility | | $35,197.69 | $55,640.60 | $90,224.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,549.70 / $44,861.44 / $102,516.69
| Facility | | $25,549.70 | $44,861.44 | $102,516.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $40,072.93 / $78,547.50
| Facility | | $100.00 | $40,072.93 | $78,547.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,428.35 / $58,400.00 / $103,338.80
| Facility | | $38,428.35 | $58,400.00 | $103,338.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,222.48 / $77,281.95 / $90,696.93
| Facility | | $53,222.48 | $77,281.95 | $90,696.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,011.18 / $49,400.56 / $103,338.80
| Facility | | $34,011.18 | $49,400.56 | $103,338.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $45,216.20 / $92,569.84
| Facility | | $5,693.00 | $45,216.20 | $92,569.84 |