- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,787.80 / $54,992.70 / $89,173.80
| Facility | | $34,787.80 | $54,992.70 | $89,173.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,934.78 / $49,934.78 / $49,934.78
| Facility | | $49,934.78 | $49,934.78 | $49,934.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,755.65 / $49,836.69 / $114,723.83
| Facility | | $40,755.65 | $49,836.69 | $114,723.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $39,063.51 / $77,300.00
| Facility | | $100.00 | $39,063.51 | $77,300.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,009.37 / $56,984.07 / $101,252.42
| Facility | | $35,009.37 | $56,984.07 | $101,252.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,498.15 / $79,134.30 / $92,870.82
| Facility | | $54,498.15 | $79,134.30 | $92,870.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,622.62 / $48,476.14 / $102,135.54
| Facility | | $34,622.62 | $48,476.14 | $102,135.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $44,689.71 / $91,491.97
| Facility | | $5,693.00 | $44,689.71 | $91,491.97 |