- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,701.50 / $69,415.00 / $117,200.00
| Facility | | $31,701.50 | $69,415.00 | $117,200.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,193.33 / $102,475.09 / $131,723.47
| Facility | | $66,193.33 | $102,475.09 | $131,723.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,500.00 / $3,500.00 / $3,500.00
| Facility | | $3,500.00 | $3,500.00 | $3,500.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,199.24 / $98,952.22 / $145,256.29
| Facility | | $69,199.24 | $98,952.22 | $145,256.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,920.78 / $97,845.51 / $205,185.13
| Facility | | $50,920.78 | $97,845.51 | $205,185.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,199.24 / $107,735.24 / $146,057.10
| Facility | | $69,199.24 | $107,735.24 | $146,057.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $88,777.70 / $135,511.19
| Facility | | $9,114.00 | $88,777.70 | $135,511.19 |