- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,953.80 / $125,629.00 / $151,694.00
| Facility | | $65,953.80 | $125,629.00 | $151,694.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $113,440.45 / $188,483.76
| Facility | | $12,397.00 | $113,440.45 | $188,483.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,523.64 / $99,980.92 / $114,519.32
| Facility | | $83,523.64 | $99,980.92 | $114,519.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,605.20 / $85,585.50 / $98,029.94
| Facility | | $56,605.20 | $85,585.50 | $98,029.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,436.47 / $108,898.38 / $169,406.15
| Facility | | $52,436.47 | $108,898.38 | $169,406.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71,477.03 / $97,800.45 / $126,623.76
| Facility | | $71,477.03 | $97,800.45 | $126,623.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $110,839.23 / $159,476.17
| Facility | | $3,775.00 | $110,839.23 | $159,476.17 |