- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,345.69 / $74,956.89 / $102,360.00
| Facility | | $41,345.69 | $74,956.89 | $102,360.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $77,904.89 / $111,266.00
| Facility | | $20,946.00 | $77,904.89 | $111,266.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,444.03 / $63,270.24 / $98,643.86
| Facility | | $36,444.03 | $63,270.24 | $98,643.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,548.33 / $75,548.33 / $91,737.26
| Facility | | $75,548.33 | $75,548.33 | $91,737.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,924.41 / $92,412.29 / $136,568.65
| Facility | | $57,924.41 | $92,412.29 | $136,568.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,272.40 / $72,055.00 / $102,360.00
| Facility | | $41,272.40 | $72,055.00 | $102,360.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,355.07 / $61,376.72 / $96,647.58
| Facility | | $37,355.07 | $61,376.72 | $96,647.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $35,720.58 / $52,006.87
| Facility | | $2,621.40 | $35,720.58 | $52,006.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,323.90 / $57,791.40 / $104,826.87
| Facility | | $21,323.90 | $57,791.40 | $104,826.87 |