- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,811.70 / $65,277.00 / $110,214.00
| Facility | | $29,811.70 | $65,277.00 | $110,214.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,145.05 / $94,830.56 / $122,966.05
| Facility | | $62,145.05 | $94,830.56 | $122,966.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,074.13 / $93,053.48 / $136,597.29
| Facility | | $65,074.13 | $93,053.48 | $136,597.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,885.29 / $92,012.75 / $192,953.65
| Facility | | $47,885.29 | $92,012.75 | $192,953.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,074.13 / $101,312.93 / $137,350.35
| Facility | | $65,074.13 | $101,312.93 | $137,350.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,415.00 / $81,585.96 / $128,654.50
| Facility | | $23,415.00 | $81,585.96 | $128,654.50 |