- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,964.40 / $95,641.90 / $168,426.00
| Facility | | $59,964.40 | $95,641.90 | $168,426.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,285.27 / $80,117.35 / $117,312.31
| Facility | | $27,285.27 | $80,117.35 | $117,312.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,446.83 / $74,366.71 / $124,581.62
| Facility | | $55,446.83 | $74,366.71 | $124,581.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,639.14 / $63,769.20 / $78,288.13
| Facility | | $43,639.14 | $63,769.20 | $78,288.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,050.89 / $70,264.86 / $109,893.27
| Facility | | $22,050.89 | $70,264.86 | $109,893.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,528.06 / $77,780.10 / $105,746.28
| Facility | | $55,528.06 | $77,780.10 | $105,746.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $59,906.52 / $163,683.99
| Facility | | $3,775.00 | $59,906.52 | $163,683.99 |