- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $67,608.30 / $125,892.54
| Facility | | $37,153.52 | $67,608.30 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $72,443.60 / $120,226.44
| Facility | | $10,232.93 | $72,443.60 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $41,686.94 / $102,329.30
| Facility | | $100.00 | $41,686.94 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $56,234.13 / $102,329.30
| Facility | | $34,673.69 | $56,234.13 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102,329.30 / $102,329.30 / $102,329.30
| Facility | | $102,329.30 | $102,329.30 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $58,884.37 / $114,815.36
| Facility | | $39,810.72 | $58,884.37 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $56,234.13 / $114,815.36
| Facility | | $5,754.40 | $56,234.13 | $114,815.36 |