- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,833.80 / $108,257.00 / $130,718.00
| Facility | | $56,833.80 | $108,257.00 | $130,718.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $97,754.05 / $164,222.85
| Facility | | $12,397.00 | $97,754.05 | $164,222.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,273.48 / $86,348.60 / $98,693.14
| Facility | | $74,273.48 | $86,348.60 | $98,693.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,339.07 / $74,799.22 / $88,513.75
| Facility | | $49,339.07 | $74,799.22 | $88,513.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,743.67 / $95,350.50 / $147,112.20
| Facility | | $55,743.67 | $95,350.50 | $147,112.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,276.78 / $85,405.44 / $112,454.56
| Facility | | $62,276.78 | $85,405.44 | $112,454.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $95,512.53 / $137,424.01
| Facility | | $3,775.00 | $95,512.53 | $137,424.01 |