- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,249.70 / $62,857.60 / $108,072.00
| Facility | | $25,249.70 | $62,857.60 | $108,072.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,827.05 / $98,461.61 / $126,564.47
| Facility | | $64,827.05 | $98,461.61 | $126,564.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,768.84 / $88,327.04 / $129,659.14
| Facility | | $61,768.84 | $88,327.04 | $129,659.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,298.57 / $87,339.17 / $172,245.83
| Facility | | $49,298.57 | $87,339.17 | $172,245.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,768.84 / $96,166.98 / $130,373.96
| Facility | | $61,768.84 | $96,166.98 | $130,373.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $81,332.58 / $123,624.00
| Facility | | $9,114.00 | $81,332.58 | $123,624.00 |