- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,895.10 / $87,931.00 / $189,874.00
| Facility | | $31,895.10 | $87,931.00 | $189,874.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89,424.00 / $131,879.35 / $171,006.94
| Facility | | $89,424.00 | $131,879.35 | $171,006.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,835.92 / $114,162.26 / $167,583.79
| Facility | | $79,835.92 | $114,162.26 | $167,583.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,747.87 / $112,885.44 / $236,724.35
| Facility | | $58,747.87 | $112,885.44 | $236,724.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,740.03 / $42,740.03 / $45,009.59
| Facility | | $42,740.03 | $42,740.03 | $45,009.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,835.92 / $124,295.34 / $168,507.69
| Facility | | $79,835.92 | $124,295.34 | $168,507.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $102,423.81 / $158,032.26
| Facility | | $9,114.00 | $102,423.81 | $158,032.26 |