- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,474.50 / $104,430.00 / $183,902.00
| Facility | | $65,474.50 | $104,430.00 | $183,902.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,868.56 / $84,014.79 / $122,133.43
| Facility | | $30,868.56 | $84,014.79 | $122,133.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,541.76 / $81,200.16 / $136,029.24
| Facility | | $60,541.76 | $81,200.16 | $136,029.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,349.79 / $63,241.20 / $72,635.49
| Facility | | $40,349.79 | $63,241.20 | $72,635.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,811.80 / $75,999.07 / $114,299.85
| Facility | | $18,811.80 | $75,999.07 | $114,299.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,754.66 / $81,723.99 / $111,341.59
| Facility | | $57,754.66 | $81,723.99 | $111,341.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $65,411.24 / $178,724.67
| Facility | | $3,775.00 | $65,411.24 | $178,724.67 |