- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,823.50 / $61,372.30 / $99,518.70
| Facility | | $38,823.50 | $61,372.30 | $99,518.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,360.15 / $48,924.09 / $111,800.60
| Facility | | $37,360.15 | $48,924.09 | $111,800.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $40,755.19 / $85,612.89
| Facility | | $100.00 | $40,755.19 | $85,612.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,539.75 / $64,033.51 / $113,984.11
| Facility | | $40,539.75 | $64,033.51 | $113,984.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,042.30 / $84,280.60 / $98,910.44
| Facility | | $58,042.30 | $84,280.60 | $98,910.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,043.24 / $54,099.78 / $113,984.11
| Facility | | $37,043.24 | $54,099.78 | $113,984.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $42,978.36 / $98,334.24
| Facility | | $5,760.00 | $42,978.36 | $98,334.24 |