- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,066.10 / $77,073.89 / $131,147.00
| Facility | | $29,066.10 | $77,073.89 | $131,147.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80,642.39 / $118,099.51 / $153,138.71
| Facility | | $80,642.39 | $118,099.51 | $153,138.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,636.23 / $103,752.39 / $152,719.46
| Facility | | $65,636.23 | $103,752.39 | $152,719.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,066.49 / $102,872.74 / $202,880.34
| Facility | | $58,066.49 | $102,872.74 | $202,880.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,268.21 / $35,268.21 / $35,268.21
| Facility | | $35,268.21 | $35,268.21 | $35,268.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,754.64 / $113,270.60 / $153,561.41
| Facility | | $72,754.64 | $113,270.60 | $153,561.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $93,339.03 / $144,015.13
| Facility | | $9,114.00 | $93,339.03 | $144,015.13 |