- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,864.50 / $53,533.10 / $86,806.90
| Facility | | $33,864.50 | $53,533.10 | $86,806.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,228.40 / $44,822.98 / $102,428.81
| Facility | | $34,228.40 | $44,822.98 | $102,428.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $40,899.43 / $73,832.23
| Facility | | $100.00 | $40,899.43 | $73,832.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,112.47 / $58,292.00 / $99,424.67
| Facility | | $39,112.47 | $58,292.00 | $99,424.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,176.85 / $77,215.70 / $90,619.18
| Facility | | $53,176.85 | $77,215.70 | $90,619.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,982.49 / $47,481.67 / $99,424.67
| Facility | | $33,982.49 | $47,481.67 | $99,424.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $43,503.56 / $89,063.60
| Facility | | $5,693.00 | $43,503.56 | $89,063.60 |