- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,809.90 / $62,160.20 / $104,790.00
| Facility | | $28,809.90 | $62,160.20 | $104,790.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,590.66 / $99,156.25 / $127,457.38
| Facility | | $64,590.66 | $99,156.25 | $127,457.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,887.40 / $89,926.53 / $132,007.10
| Facility | | $62,887.40 | $89,926.53 | $132,007.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,276.17 / $88,920.77 / $186,469.67
| Facility | | $46,276.17 | $88,920.77 | $186,469.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,887.40 / $97,908.43 / $132,734.85
| Facility | | $62,887.40 | $97,908.43 | $132,734.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $80,680.06 / $124,483.29
| Facility | | $9,114.00 | $80,680.06 | $124,483.29 |