- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,220.20 / $108,810.00 / $191,614.00
| Facility | | $68,220.20 | $108,810.00 | $191,614.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,233.62 / $89,758.57 / $130,483.24
| Facility | | $29,233.62 | $89,758.57 | $130,483.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,080.61 / $84,605.33 / $141,733.69
| Facility | | $63,080.61 | $84,605.33 | $141,733.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,599.04 / $71,078.70 / $78,216.19
| Facility | | $43,599.04 | $71,078.70 | $78,216.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,363.74 / $79,460.14 / $122,114.10
| Facility | | $22,363.74 | $79,460.14 | $122,114.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,703.13 / $86,429.74 / $117,505.94
| Facility | | $61,703.13 | $86,429.74 | $117,505.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $68,154.28 / $186,219.58
| Facility | | $3,775.00 | $68,154.28 | $186,219.58 |