- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $66,069.34 / $102,329.30
| Facility | | $46,773.51 | $66,069.34 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $56,234.13 / $85,113.80
| Facility | | $38,904.51 | $56,234.13 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $70,794.58 / $104,712.85
| Facility | | $43,651.58 | $70,794.58 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $60,255.96 / $95,499.26
| Facility | | $38,018.94 | $60,255.96 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $43,651.58 / $72,443.60
| Facility | | $27,542.29 | $43,651.58 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $72,443.60 / $100,000.00
| Facility | | $10,471.29 | $72,443.60 | $100,000.00 |