- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,046.50 / $92,582.80 / $163,038.00
| Facility | | $58,046.50 | $92,582.80 | $163,038.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,264.56 / $82,803.47 / $119,744.33
| Facility | | $36,264.56 | $82,803.47 | $119,744.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,673.37 / $71,988.10 / $120,596.89
| Facility | | $53,673.37 | $71,988.10 | $120,596.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,645.39 / $61,556.55 / $72,917.37
| Facility | | $40,645.39 | $61,556.55 | $72,917.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,404.24 / $71,740.28 / $114,174.45
| Facility | | $21,404.24 | $71,740.28 | $114,174.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,517.53 / $81,087.32 / $109,986.67
| Facility | | $58,517.53 | $81,087.32 | $109,986.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $57,990.42 / $158,448.57
| Facility | | $3,775.00 | $57,990.42 | $158,448.57 |