- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,977.90 / $92,739.70 / $152,379.00
| Facility | | $37,977.90 | $92,739.70 | $152,379.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,311.71 / $131,743.32 / $168,755.08
| Facility | | $86,311.71 | $131,743.32 | $168,755.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78,977.21 / $128,141.14 / $183,760.65
| Facility | | $78,977.21 | $128,141.14 | $183,760.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,868.87 / $120,608.00 / $244,117.05
| Facility | | $69,868.87 | $120,608.00 | $244,117.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,542.48 / $138,434.13 / $184,773.73
| Facility | | $87,542.48 | $138,434.13 | $184,773.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $112,310.78 / $171,432.32
| Facility | | $9,114.00 | $112,310.78 | $171,432.32 |