- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,684.69 / $86,895.50 / $146,714.00
| Facility | | $39,684.69 | $86,895.50 | $146,714.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,591.85 / $145,868.88 / $189,147.03
| Facility | | $95,591.85 | $145,868.88 | $189,147.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,625.40 / $123,870.96 / $181,835.62
| Facility | | $86,625.40 | $123,870.96 | $181,835.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,743.96 / $122,485.56 / $256,856.09
| Facility | | $63,743.96 | $122,485.56 | $256,856.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,625.40 / $134,865.78 / $182,838.08
| Facility | | $86,625.40 | $134,865.78 | $182,838.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $111,134.23 / $171,471.80
| Facility | | $9,114.00 | $111,134.23 | $171,471.80 |