- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,630.00 / $69,588.80 / $122,546.00
| Facility | | $43,630.00 | $69,588.80 | $122,546.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,201.46 / $59,109.71 / $86,382.41
| Facility | | $20,201.46 | $59,109.71 | $86,382.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,342.98 / $54,109.04 / $90,645.29
| Facility | | $40,342.98 | $54,109.04 | $90,645.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,770.47 / $48,182.67 / $55,201.88
| Facility | | $30,770.47 | $48,182.67 | $55,201.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,700.60 / $53,872.46 / $80,417.16
| Facility | | $14,700.60 | $53,872.46 | $80,417.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,634.05 / $57,518.41 / $78,236.25
| Facility | | $40,634.05 | $57,518.41 | $78,236.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $43,587.84 / $119,096.08
| Facility | | $3,775.00 | $43,587.84 | $119,096.08 |