- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,680.50 / $95,883.60 / $130,938.00
| Facility | | $53,680.50 | $95,883.60 | $130,938.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $100,566.96 / $147,554.28
| Facility | | $20,946.00 | $100,566.96 | $147,554.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,796.75 / $80,934.24 / $123,629.98
| Facility | | $44,796.75 | $80,934.24 | $123,629.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96,640.17 / $96,640.17 / $117,348.78
| Facility | | $96,640.17 | $96,640.17 | $117,348.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94,234.13 / $147,963.35 / $267,205.43
| Facility | | $94,234.13 | $147,963.35 | $267,205.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,888.80 / $95,883.60 / $129,577.00
| Facility | | $52,888.80 | $95,883.60 | $129,577.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,796.75 / $78,512.08 / $122,734.08
| Facility | | $44,796.75 | $78,512.08 | $122,734.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $44,328.15 / $64,707.39
| Facility | | $2,621.40 | $44,328.15 | $64,707.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,277.18 / $73,925.80 / $134,092.79
| Facility | | $27,277.18 | $73,925.80 | $134,092.79 |