- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,480.90 / $103,512.00 / $167,851.00
| Facility | | $65,480.90 | $103,512.00 | $167,851.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,880.51 / $92,850.24 / $212,179.99
| Facility | | $52,880.51 | $92,850.24 | $212,179.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,684.00 / $67,896.25 / $147,034.51
| Facility | | $1,684.00 | $67,896.25 | $147,034.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110,155.18 / $159,951.35 / $187,716.49
| Facility | | $110,155.18 | $159,951.35 | $187,716.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,492.13 / $71,914.42 / $81,311.64
| Facility | | $61,492.13 | $71,914.42 | $81,311.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $153,016.00 / $153,016.00 / $153,016.00
| Facility | | $153,016.00 | $153,016.00 | $153,016.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $84,119.17 / $172,214.77
| Facility | | $5,693.00 | $84,119.17 | $172,214.77 |