- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,291.10 / $72,196.30 / $125,370.00
| Facility | | $29,291.10 | $72,196.30 | $125,370.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,897.00 / $111,494.38 / $143,683.97
| Facility | | $55,897.00 | $111,494.38 | $143,683.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71,655.19 / $102,464.14 / $150,411.60
| Facility | | $71,655.19 | $102,464.14 | $150,411.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,728.02 / $101,318.15 / $212,467.38
| Facility | | $52,728.02 | $101,318.15 | $212,467.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,437.62 / $38,437.62 / $39,347.01
| Facility | | $38,437.62 | $38,437.62 | $39,347.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71,655.19 / $111,558.88 / $151,240.82
| Facility | | $71,655.19 | $111,558.88 | $151,240.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $91,928.52 / $140,320.63
| Facility | | $9,114.00 | $91,928.52 | $140,320.63 |