- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,942.30 / $62,817.10 / $122,824.00
| Facility | | $28,942.30 | $62,817.10 | $122,824.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,030.56 / $94,742.38 / $156,729.88
| Facility | | $64,030.56 | $94,742.38 | $156,729.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,099.36 / $61,021.23 / $81,924.00
| Facility | | $31,099.36 | $61,021.23 | $81,924.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,789.58 / $132,057.45 / $154,980.63
| Facility | | $62,789.58 | $132,057.45 | $154,980.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,956.00 / $69,757.00 / $93,009.00
| Facility | | $2,956.00 | $69,757.00 | $93,009.00 |