- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,949.80 / $48,925.60 / $79,335.60
| Facility | | $30,949.80 | $48,925.60 | $79,335.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,678.72 / $39,820.43 / $90,997.05
| Facility | | $22,678.72 | $39,820.43 | $90,997.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $34,644.58 / $72,900.00
| Facility | | $100.00 | $34,644.58 | $72,900.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,725.69 / $53,408.65 / $90,867.36
| Facility | | $35,725.69 | $53,408.65 | $90,867.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,241.95 / $68,597.89 / $80,505.46
| Facility | | $47,241.95 | $68,597.89 | $80,505.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,248.96 / $43,395.01 / $90,867.36
| Facility | | $30,248.96 | $43,395.01 | $90,867.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $39,759.29 / $81,398.06
| Facility | | $5,693.00 | $39,759.29 | $81,398.06 |