- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,678.00 / $61,452.80 / $92,368.70
| Facility | | $24,678.00 | $61,452.80 | $92,368.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,879.00 / $53,740.36 / $131,744.22
| Facility | | $7,879.00 | $53,740.36 | $131,744.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $58,143.21 / $109,419.04
| Facility | | $100.00 | $58,143.21 | $109,419.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,950.00 / $70,578.50 / $125,407.76
| Facility | | $25,950.00 | $70,578.50 | $125,407.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71,861.20 / $104,346.40 / $122,459.36
| Facility | | $71,861.20 | $104,346.40 | $122,459.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,889.83 / $60,040.88 / $126,501.56
| Facility | | $33,889.83 | $60,040.88 | $126,501.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $44,062.86 / $109,133.06
| Facility | | $5,760.00 | $44,062.86 | $109,133.06 |