- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,371.50 / $62,123.40 / $104,889.00
| Facility | | $28,371.50 | $62,123.40 | $104,889.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,764.16 / $100,557.33 / $130,391.91
| Facility | | $67,764.16 | $100,557.33 | $130,391.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,930.37 / $88,558.02 / $129,998.21
| Facility | | $61,930.37 | $88,558.02 | $129,998.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,571.93 / $87,567.57 / $183,631.97
| Facility | | $45,571.93 | $87,567.57 | $183,631.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,930.37 / $96,418.46 / $130,714.90
| Facility | | $61,930.37 | $96,418.46 | $130,714.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $79,452.25 / $122,588.89
| Facility | | $9,114.00 | $79,452.25 | $122,588.89 |