- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $60,255.96 / $112,201.85
| Facility | | $33,113.11 | $60,255.96 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $39,810.72 / $58,884.37
| Facility | | $39,810.72 | $39,810.72 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $64,565.42 / $107,151.93
| Facility | | $10,232.93 | $64,565.42 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $40,738.03 / $91,201.08
| Facility | | $100.00 | $40,738.03 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $52,480.75 / $91,201.08
| Facility | | $35,481.34 | $52,480.75 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,201.08 / $91,201.08 / $91,201.08
| Facility | | $91,201.08 | $91,201.08 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $58,884.37 / $107,151.93
| Facility | | $35,481.34 | $58,884.37 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $50,118.72 / $102,329.30
| Facility | | $5,754.40 | $50,118.72 | $102,329.30 |