- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,582.20 / $110,982.00 / $195,439.00
| Facility | | $69,582.20 | $110,982.00 | $195,439.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,616.53 / $86,358.03 / $125,539.83
| Facility | | $30,616.53 | $86,358.03 | $125,539.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,339.98 / $86,294.43 / $144,563.32
| Facility | | $64,339.98 | $86,294.43 | $144,563.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,656.95 / $72,133.05 / $83,702.05
| Facility | | $46,656.95 | $72,133.05 | $83,702.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,988.25 / $77,717.28 / $117,487.76
| Facility | | $22,988.25 | $77,717.28 | $117,487.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,365.49 / $83,711.17 / $113,699.36
| Facility | | $59,365.49 | $83,711.17 | $113,699.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $69,514.96 / $189,937.36
| Facility | | $3,775.00 | $69,514.96 | $189,937.36 |