- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,731.30 / $109,966.00 / $132,782.00
| Facility | | $57,731.30 | $109,966.00 | $132,782.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $99,297.75 / $170,445.74
| Facility | | $12,397.00 | $99,297.75 | $170,445.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,140.39 / $89,955.44 / $110,367.78
| Facility | | $76,140.39 | $89,955.44 | $110,367.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,617.88 / $77,803.03 / $82,338.63
| Facility | | $45,617.88 | $77,803.03 | $82,338.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,833.47 / $98,659.02 / $162,601.60
| Facility | | $46,833.47 | $98,659.02 | $162,601.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $97,020.83 / $139,594.16
| Facility | | $3,775.00 | $97,020.83 | $139,594.16 |