- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,155.70 / $92,275.60 / $128,782.00
| Facility | | $46,155.70 | $92,275.60 | $128,782.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,452.16 / $76,685.00 / $115,502.00
| Facility | | $49,452.16 | $76,685.00 | $115,502.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $52,286.66 / $97,464.29
| Facility | | $100.00 | $52,286.66 | $97,464.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,513.51 / $89,069.06 / $117,787.00
| Facility | | $53,513.51 | $89,069.06 | $117,787.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,127.05 / $96,020.10 / $112,687.74
| Facility | | $66,127.05 | $96,020.10 | $112,687.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,137.23 / $68,422.87 / $126,374.15
| Facility | | $42,137.23 | $68,422.87 | $126,374.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $55,295.39 / $113,204.67
| Facility | | $5,693.00 | $55,295.39 | $113,204.67 |