- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,890.00 / $68,692.00 / $93,804.90
| Facility | | $37,890.00 | $68,692.00 | $93,804.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $58,572.28 / $90,240.25
| Facility | | $20,946.00 | $58,572.28 | $90,240.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,406.96 / $57,982.08 / $88,569.73
| Facility | | $31,406.96 | $57,982.08 | $88,569.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,233.96 / $69,233.96 / $84,069.81
| Facility | | $69,233.96 | $69,233.96 | $84,069.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,104.73 / $54,778.41 / $84,932.07
| Facility | | $19,104.73 | $54,778.41 | $84,932.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,822.80 / $65,977.70 / $92,830.10
| Facility | | $37,822.80 | $65,977.70 | $92,830.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,406.96 / $56,246.82 / $88,316.77
| Facility | | $31,406.96 | $56,246.82 | $88,316.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $32,035.62 / $46,569.67
| Facility | | $2,621.40 | $32,035.62 | $46,569.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,201.31 / $52,961.17 / $96,065.38
| Facility | | $19,201.31 | $52,961.17 | $96,065.38 |