- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,991.10 / $70,358.80 / $118,271.00
| Facility | | $31,991.10 | $70,358.80 | $118,271.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,831.46 / $99,583.76 / $146,583.41
| Facility | | $69,831.46 | $99,583.76 | $146,583.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,733.46 / $98,739.46 / $207,059.77
| Facility | | $55,733.46 | $98,739.46 | $207,059.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,676.79 / $35,676.79 / $36,654.06
| Facility | | $35,676.79 | $35,676.79 | $36,654.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,831.46 / $107,467.97 / $147,391.53
| Facility | | $69,831.46 | $107,467.97 | $147,391.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $91,948.84 / $173,910.00
| Facility | | $9,114.00 | $91,948.84 | $173,910.00 |