- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,821.80 / $73,906.00 / $128,339.00
| Facility | | $31,821.80 | $73,906.00 | $128,339.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78,308.53 / $119,495.30 / $154,948.62
| Facility | | $78,308.53 | $119,495.30 | $154,948.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,352.13 / $104,890.69 / $153,973.65
| Facility | | $73,352.13 | $104,890.69 | $153,973.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,543.35 / $103,717.57 / $204,546.47
| Facility | | $58,543.35 | $103,717.57 | $204,546.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,919.19 / $37,919.19 / $37,919.19
| Facility | | $37,919.19 | $37,919.19 | $37,919.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,352.13 / $114,200.82 / $154,822.51
| Facility | | $73,352.13 | $114,200.82 | $154,822.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $96,584.58 / $157,672.00
| Facility | | $9,114.00 | $96,584.58 | $157,672.00 |