- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,766.90 / $65,321.90 / $125,715.00
| Facility | | $24,766.90 | $65,321.90 | $125,715.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,469.73 / $98,061.41 / $126,050.04
| Facility | | $64,469.73 | $98,061.41 | $126,050.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,587.76 / $86,638.14 / $127,179.93
| Facility | | $60,587.76 | $86,638.14 | $127,179.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,583.96 / $85,669.16 / $179,650.94
| Facility | | $44,583.96 | $85,669.16 | $179,650.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,590.41 / $31,590.41 / $31,590.41
| Facility | | $31,590.41 | $31,590.41 | $31,590.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,587.76 / $94,328.17 / $127,881.08
| Facility | | $60,587.76 | $94,328.17 | $127,881.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $77,729.78 / $118,647.55
| Facility | | $9,114.00 | $77,729.78 | $118,647.55 |