- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,112.00 / $95,877.20 / $168,840.00
| Facility | | $60,112.00 | $95,877.20 | $168,840.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,203.54 / $81,843.57 / $118,977.09
| Facility | | $34,203.54 | $81,843.57 | $118,977.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,583.25 / $74,549.67 / $124,888.14
| Facility | | $55,583.25 | $74,549.67 | $124,888.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,728.92 / $65,638.64 / $82,037.17
| Facility | | $45,728.92 | $65,638.64 | $82,037.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,891.89 / $72,438.87 / $111,345.96
| Facility | | $19,891.89 | $72,438.87 | $111,345.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,262.09 / $78,808.28 / $107,144.15
| Facility | | $56,262.09 | $78,808.28 | $107,144.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $60,053.91 / $164,086.71
| Facility | | $3,775.00 | $60,053.91 | $164,086.71 |