- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,511.30 / $77,757.10 / $131,285.00
| Facility | | $35,511.30 | $77,757.10 | $131,285.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,018.25 / $126,161.21 / $163,592.26
| Facility | | $85,018.25 | $126,161.21 | $163,592.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,515.44 / $110,844.07 / $162,712.87
| Facility | | $77,515.44 | $110,844.07 | $162,712.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,040.32 / $109,604.36 / $229,843.81
| Facility | | $57,040.32 | $109,604.36 | $229,843.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,515.44 / $120,682.62 / $163,609.91
| Facility | | $77,515.44 | $120,682.62 | $163,609.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $99,446.80 / $153,438.96
| Facility | | $9,114.00 | $99,446.80 | $153,438.96 |