- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $48,977.88 / $91,201.08
| Facility | | $26,915.35 | $48,977.88 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $52,480.75 / $87,096.36
| Facility | | $30,199.52 | $52,480.75 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $34,673.69 / $75,857.76
| Facility | | $100.00 | $34,673.69 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $42,657.95 / $74,131.02
| Facility | | $30,199.52 | $42,657.95 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $75,857.76 / $75,857.76
| Facility | | $75,857.76 | $75,857.76 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $47,863.01 / $89,125.09
| Facility | | $30,199.52 | $47,863.01 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $40,738.03 / $83,176.38
| Facility | | $5,754.40 | $40,738.03 | $83,176.38 |