- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,743.70 / $103,928.00 / $168,525.00
| Facility | | $65,743.70 | $103,928.00 | $168,525.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,385.63 / $83,005.12 / $189,682.07
| Facility | | $63,385.63 | $83,005.12 | $189,682.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $72,600.00 / $136,011.35
| Facility | | $100.00 | $72,600.00 | $136,011.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,893.21 / $107,691.20 / $193,020.60
| Facility | | $67,893.21 | $107,691.20 | $193,020.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98,475.18 / $142,991.35 / $167,812.49
| Facility | | $98,475.18 | $142,991.35 | $167,812.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,084.34 / $91,612.52 / $193,020.60
| Facility | | $62,084.34 | $91,612.52 | $193,020.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $84,456.74 / $172,905.88
| Facility | | $5,693.00 | $84,456.74 | $172,905.88 |