- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $79,432.82 / $128,824.96
| Facility | | $52,480.75 | $79,432.82 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $52,480.75 / $91,201.08
| Facility | | $25,118.86 | $52,480.75 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $81,283.05 / $151,356.12
| Facility | | $48,977.88 | $81,283.05 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194,984.46 / $194,984.46 / $194,984.46
| Facility | | $194,984.46 | $194,984.46 | $194,984.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $74,131.02 / $128,824.96
| Facility | | $30,199.52 | $74,131.02 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $69,183.10 / $162,181.01
| Facility | | $47,863.01 | $69,183.10 | $162,181.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $66,069.34 / $151,356.12
| Facility | | $7,079.46 | $66,069.34 | $151,356.12 |