- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,792.90 / $67,273.70 / $111,751.00
| Facility | | $26,792.90 | $67,273.70 | $111,751.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,994.69 / $108,334.71 / $140,476.76
| Facility | | $70,994.69 | $108,334.71 | $140,476.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,064.60 / $95,899.77 / $140,775.49
| Facility | | $67,064.60 | $95,899.77 | $140,775.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,525.19 / $93,134.00 / $187,013.36
| Facility | | $53,525.19 | $93,134.00 | $187,013.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,216.58 / $35,216.58 / $35,216.58
| Facility | | $35,216.58 | $35,216.58 | $35,216.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,064.60 / $104,411.87 / $141,551.59
| Facility | | $67,064.60 | $104,411.87 | $141,551.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $86,039.12 / $132,751.92
| Facility | | $9,114.00 | $86,039.12 | $132,751.92 |