- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,028.30 / $100,077.00 / $136,664.00
| Facility | | $56,028.30 | $100,077.00 | $136,664.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,946.00 / $96,259.23 / $157,137.62
| Facility | | $20,946.00 | $96,259.23 | $157,137.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,756.72 / $84,473.94 / $133,316.24
| Facility | | $45,756.72 | $84,473.94 | $133,316.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100,866.78 / $100,866.78 / $122,481.09
| Facility | | $100,866.78 | $100,866.78 | $122,481.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,201.90 / $96,122.80 / $136,664.00
| Facility | | $55,201.90 | $96,122.80 | $136,664.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,756.72 / $81,945.84 / $129,037.00
| Facility | | $45,756.72 | $81,945.84 | $129,037.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $48,109.54 / $70,286.86
| Facility | | $2,621.40 | $48,109.54 | $70,286.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,470.17 / $77,158.99 / $139,957.40
| Facility | | $28,470.17 | $77,158.99 | $139,957.40 |