- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $56,234.13 / $91,201.08
| Facility | | $37,153.52 | $56,234.13 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $48,977.88 / $48,977.88
| Facility | | $48,977.88 | $48,977.88 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $48,977.88 / $54,954.09
| Facility | | $38,904.51 | $48,977.88 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $69,183.10 / $100,000.00
| Facility | | $34,673.69 | $69,183.10 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138,038.43 / $138,038.43 / $138,038.43
| Facility | | $138,038.43 | $138,038.43 | $138,038.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $52,480.75 / $91,201.08
| Facility | | $21,379.62 | $52,480.75 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $41,686.94 / $117,489.76
| Facility | | $34,673.69 | $41,686.94 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $46,773.51 / $107,151.93
| Facility | | $15,135.61 | $46,773.51 | $107,151.93 |