- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,075.00 / $68,715.70 / $82,972.50
| Facility | | $36,075.00 | $68,715.70 | $82,972.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $62,049.00 / $106,507.83
| Facility | | $6,916.00 | $62,049.00 | $106,507.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,800.68 / $55,318.94 / $63,288.58
| Facility | | $46,800.68 | $55,318.94 | $63,288.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,777.55 / $45,738.50 / $57,008.57
| Facility | | $31,777.55 | $45,738.50 | $57,008.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,276.85 / $61,282.58 / $97,275.47
| Facility | | $37,276.85 | $61,282.58 | $97,275.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,582.83 / $55,850.98 / $71,155.59
| Facility | | $41,582.83 | $55,850.98 | $71,155.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $60,626.20 / $81,500.64
| Facility | | $3,775.00 | $60,626.20 | $81,500.64 |