- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,785.00 / $85,306.50 / $103,006.00
| Facility | | $44,785.00 | $85,306.50 | $103,006.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $77,030.20 / $139,864.94
| Facility | | $12,397.00 | $77,030.20 | $139,864.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,138.40 / $69,517.94 / $81,170.55
| Facility | | $59,138.40 | $69,517.94 | $81,170.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,574.35 / $63,096.00 / $72,789.94
| Facility | | $40,574.35 | $63,096.00 | $72,789.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,638.18 / $81,597.02 / $122,954.20
| Facility | | $49,638.18 | $81,597.02 | $122,954.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,434.03 / $74,079.91 / $96,648.26
| Facility | | $55,434.03 | $74,079.91 | $96,648.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $75,263.88 / $108,290.13
| Facility | | $3,775.00 | $75,263.88 | $108,290.13 |