- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,184.70 / $92,803.30 / $163,427.00
| Facility | | $58,184.70 | $92,803.30 | $163,427.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,577.58 / $42,577.58 / $42,577.58
| Facility | | $42,577.58 | $42,577.58 | $42,577.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,720.89 / $70,623.36 / $101,417.50
| Facility | | $29,720.89 | $70,623.36 | $101,417.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,801.18 / $72,159.52 / $120,884.05
| Facility | | $53,801.18 | $72,159.52 | $120,884.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,721.90 / $50,656.60 / $59,999.40
| Facility | | $31,721.90 | $50,656.60 | $59,999.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,720.89 / $62,369.11 / $95,551.14
| Facility | | $29,720.89 | $62,369.11 | $95,551.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,266.44 / $67,862.19 / $92,338.61
| Facility | | $50,266.44 | $67,862.19 | $92,338.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,797.05 / $81,885.69 / $117,808.09
| Facility | | $30,797.05 | $81,885.69 | $117,808.09 |