- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,090.60 / $60,213.80 / $97,640.00
| Facility | | $38,090.60 | $60,213.80 | $97,640.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,017.17 / $47,438.09 / $108,404.82
| Facility | | $27,017.17 | $47,438.09 | $108,404.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $43,141.19 / $82,394.92
| Facility | | $100.00 | $43,141.19 | $82,394.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,274.10 / $64,198.00 / $110,865.44
| Facility | | $43,274.10 | $64,198.00 | $110,865.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,279.35 / $81,720.70 / $95,906.18
| Facility | | $56,279.35 | $81,720.70 | $95,906.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,934.19 / $53,407.16 / $111,832.40
| Facility | | $35,934.19 | $53,407.16 | $111,832.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $48,932.60 / $100,178.32
| Facility | | $5,693.00 | $48,932.60 | $100,178.32 |