- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,546.69 / $73,455.39 / $124,022.00
| Facility | | $33,546.69 | $73,455.39 | $124,022.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,928.53 / $117,008.79 / $152,825.89
| Facility | | $67,928.53 | $117,008.79 | $152,825.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,227.07 / $104,711.86 / $153,711.14
| Facility | | $73,227.07 | $104,711.86 | $153,711.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,884.70 / $103,540.74 / $217,128.22
| Facility | | $53,884.70 | $103,540.74 | $217,128.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,227.07 / $114,006.12 / $154,558.56
| Facility | | $73,227.07 | $114,006.12 | $154,558.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $93,945.13 / $153,440.00
| Facility | | $9,114.00 | $93,945.13 | $153,440.00 |