- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,325.90 / $65,328.20 / $105,933.00
| Facility | | $41,325.90 | $65,328.20 | $105,933.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,146.21 / $53,882.03 / $123,130.41
| Facility | | $41,146.21 | $53,882.03 | $123,130.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $46,690.17 / $95,200.00
| Facility | | $100.00 | $46,690.17 | $95,200.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,781.70 / $68,568.00 / $120,281.99
| Facility | | $45,781.70 | $68,568.00 | $120,281.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,924.28 / $92,821.55 / $108,933.97
| Facility | | $63,924.28 | $92,821.55 | $108,933.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,570.74 / $57,586.83 / $121,331.08
| Facility | | $40,570.74 | $57,586.83 | $121,331.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $53,088.77 / $108,687.14
| Facility | | $5,693.00 | $53,088.77 | $108,687.14 |