- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,740.90 / $65,121.90 / $109,952.00
| Facility | | $29,740.90 | $65,121.90 | $109,952.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,518.70 / $110,580.61 / $143,389.01
| Facility | | $74,518.70 | $110,580.61 | $143,389.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,919.55 / $92,832.43 / $136,272.79
| Facility | | $64,919.55 | $92,832.43 | $136,272.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,771.54 / $91,794.17 / $192,495.29
| Facility | | $47,771.54 | $91,794.17 | $192,495.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,911.36 / $33,911.36 / $35,898.98
| Facility | | $33,911.36 | $33,911.36 | $35,898.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,919.55 / $101,072.27 / $137,024.07
| Facility | | $64,919.55 | $101,072.27 | $137,024.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $83,287.17 / $127,130.39
| Facility | | $9,114.00 | $83,287.17 | $127,130.39 |