- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,139.40 / $145,365.00 / $255,988.00
| Facility | | $91,139.40 | $145,365.00 | $255,988.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,216.28 / $123,363.23 / $179,334.78
| Facility | | $50,216.28 | $123,363.23 | $179,334.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84,273.10 / $113,029.24 / $189,350.38
| Facility | | $84,273.10 | $113,029.24 | $189,350.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,221.14 / $94,613.55 / $99,999.00
| Facility | | $64,221.14 | $94,613.55 | $99,999.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,067.58 / $109,609.31 / $167,832.32
| Facility | | $34,067.58 | $109,609.31 | $167,832.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84,804.13 / $118,788.12 / $161,498.92
| Facility | | $84,804.13 | $118,788.12 | $161,498.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $91,051.33 / $248,781.69
| Facility | | $3,775.00 | $91,051.33 | $248,781.69 |