- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,347.60 / $62,071.20 / $104,801.00
| Facility | | $28,347.60 | $62,071.20 | $104,801.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,564.60 / $99,528.94 / $128,747.13
| Facility | | $59,564.60 | $99,528.94 | $128,747.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,878.27 / $88,483.51 / $129,888.83
| Facility | | $61,878.27 | $88,483.51 | $129,888.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,533.59 / $87,493.89 / $183,477.46
| Facility | | $45,533.59 | $87,493.89 | $183,477.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,878.27 / $96,337.34 / $130,604.92
| Facility | | $61,878.27 | $96,337.34 | $130,604.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,196.00 / $77,579.17 / $122,485.75
| Facility | | $23,196.00 | $77,579.17 | $122,485.75 |