- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,855.00 / $81,630.20 / $98,566.50
| Facility | | $42,855.00 | $81,630.20 | $98,566.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $73,710.60 / $126,525.10
| Facility | | $12,397.00 | $73,710.60 | $126,525.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,664.97 / $65,453.54 / $74,446.82
| Facility | | $56,664.97 | $65,453.54 | $74,446.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,077.62 / $55,690.30 / $66,516.85
| Facility | | $37,077.62 | $55,690.30 | $66,516.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,701.72 / $72,517.52 / $113,119.45
| Facility | | $43,701.72 | $72,517.52 | $113,119.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,775.10 / $65,305.38 / $82,186.81
| Facility | | $48,775.10 | $65,305.38 | $82,186.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $72,020.39 / $103,623.39
| Facility | | $3,775.00 | $72,020.39 | $103,623.39 |