- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,577.50 / $132,531.00 / $160,028.00
| Facility | | $69,577.50 | $132,531.00 | $160,028.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $119,673.30 / $183,721.18
| Facility | | $12,397.00 | $119,673.30 | $183,721.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90,359.92 / $106,558.94 / $133,492.98
| Facility | | $90,359.92 | $106,558.94 | $133,492.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,546.42 / $74,613.57 / $88,558.41
| Facility | | $42,546.42 | $74,613.57 | $88,558.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,254.81 / $104,182.02 / $160,351.38
| Facility | | $50,254.81 | $104,182.02 | $160,351.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $116,929.16 / $168,238.40
| Facility | | $3,775.00 | $116,929.16 | $168,238.40 |