- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,142.20 / $39,744.90 / $64,448.60
| Facility | | $25,142.20 | $39,744.90 | $64,448.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,370.18 / $48,370.18 / $48,370.18
| Facility | | $48,370.18 | $48,370.18 | $48,370.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,150.76 / $35,646.03 / $82,057.00
| Facility | | $29,150.76 | $35,646.03 | $82,057.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $29,226.36 / $64,849.25
| Facility | | $100.00 | $29,226.36 | $64,849.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,555.22 / $41,716.00 / $73,178.21
| Facility | | $26,555.22 | $41,716.00 | $73,178.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,980.17 / $56,601.35 / $66,426.49
| Facility | | $38,980.17 | $56,601.35 | $66,426.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,933.07 / $35,035.18 / $73,816.46
| Facility | | $24,933.07 | $35,035.18 | $73,816.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $32,298.61 / $66,124.03
| Facility | | $5,693.00 | $32,298.61 | $66,124.03 |