- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,146.10 / $59,440.30 / $100,359.00
| Facility | | $27,146.10 | $59,440.30 | $100,359.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,965.57 / $96,404.42 / $125,006.86
| Facility | | $64,965.57 | $96,404.42 | $125,006.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,255.57 / $84,733.16 / $124,383.52
| Facility | | $59,255.57 | $84,733.16 | $124,383.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,603.66 / $82,962.00 / $175,700.81
| Facility | | $43,603.66 | $82,962.00 | $175,700.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,975.86 / $28,975.86 / $28,975.86
| Facility | | $28,975.86 | $28,975.86 | $28,975.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,255.57 / $92,254.10 / $125,069.26
| Facility | | $59,255.57 | $92,254.10 | $125,069.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $76,020.67 / $116,038.75
| Facility | | $9,114.00 | $76,020.67 | $116,038.75 |