- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84,956.90 / $135,504.00 / $238,623.00
| Facility | | $84,956.90 | $135,504.00 | $238,623.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,620.47 / $114,546.70 / $167,886.58
| Facility | | $44,620.47 | $114,546.70 | $167,886.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78,556.38 / $105,361.83 / $176,505.68
| Facility | | $78,556.38 | $105,361.83 | $176,505.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,547.60 / $89,548.80 / $99,999.00
| Facility | | $60,547.60 | $89,548.80 | $99,999.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,652.83 / $101,125.66 / $157,118.41
| Facility | | $31,652.83 | $101,125.66 | $157,118.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,390.49 / $111,205.04 / $151,189.31
| Facility | | $79,390.49 | $111,205.04 | $151,189.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $84,874.81 / $231,905.44
| Facility | | $3,775.00 | $84,874.81 | $231,905.44 |