- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,190.60 / $89,622.80 / $157,826.00
| Facility | | $56,190.60 | $89,622.80 | $157,826.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,440.40 / $74,138.35 / $107,775.91
| Facility | | $24,440.40 | $74,138.35 | $107,775.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,957.35 / $69,686.53 / $116,741.22
| Facility | | $51,957.35 | $69,686.53 | $116,741.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,230.22 / $55,731.23 / $68,584.59
| Facility | | $38,230.22 | $55,731.23 | $68,584.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,665.33 / $66,447.78 / $100,863.21
| Facility | | $15,665.33 | $66,447.78 | $100,863.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,965.26 / $71,388.82 / $97,056.99
| Facility | | $50,965.26 | $71,388.82 | $97,056.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $56,136.37 / $153,382.73
| Facility | | $3,775.00 | $56,136.37 | $153,382.73 |