- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,095.30 / $104,135.00 / $216,073.00
| Facility | | $34,095.30 | $104,135.00 | $216,073.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,776.74 / $154,128.98 / $226,977.40
| Facility | | $74,776.74 | $154,128.98 | $226,977.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99,528.72 / $142,322.20 / $208,921.01
| Facility | | $99,528.72 | $142,322.20 | $208,921.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,238.96 / $138,472.70 / $277,541.34
| Facility | | $73,238.96 | $138,472.70 | $277,541.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,230.79 / $51,855.36 / $53,125.22
| Facility | | $51,230.79 | $51,855.36 | $53,125.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103,317.31 / $157,388.42 / $245,073.47
| Facility | | $103,317.31 | $157,388.42 | $245,073.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $127,688.27 / $215,402.00
| Facility | | $9,114.00 | $127,688.27 | $215,402.00 |