- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,310.00 / $109,164.00 / $131,813.00
| Facility | | $57,310.00 | $109,164.00 | $131,813.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $98,573.20 / $169,202.04
| Facility | | $12,397.00 | $98,573.20 | $169,202.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,185.09 / $87,060.46 / $99,564.96
| Facility | | $75,185.09 | $87,060.46 | $99,564.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,383.75 / $76,530.60 / $88,593.91
| Facility | | $49,383.75 | $76,530.60 | $88,593.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,318.58 / $96,392.19 / $150,813.65
| Facility | | $58,318.58 | $96,392.19 | $150,813.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,162.04 / $87,179.09 / $107,151.95
| Facility | | $65,162.04 | $87,179.09 | $107,151.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $96,312.89 / $138,575.57
| Facility | | $3,775.00 | $96,312.89 | $138,575.57 |