- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71,383.60 / $113,855.00 / $200,499.00
| Facility | | $71,383.60 | $113,855.00 | $200,499.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,606.77 / $94,753.43 / $137,744.32
| Facility | | $43,606.77 | $94,753.43 | $137,744.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,005.74 / $88,528.59 / $148,306.07
| Facility | | $66,005.74 | $88,528.59 | $148,306.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,287.83 / $80,968.80 / $96,693.62
| Facility | | $56,287.83 | $80,968.80 | $96,693.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,869.58 / $85,272.67 / $128,909.47
| Facility | | $29,869.58 | $85,272.67 | $128,909.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,136.77 / $91,727.52 / $124,587.43
| Facility | | $65,136.77 | $91,727.52 | $124,587.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $71,314.70 / $194,854.83
| Facility | | $3,775.00 | $71,314.70 | $194,854.83 |