- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,327.20 / $88,245.60 / $155,401.00
| Facility | | $55,327.20 | $88,245.60 | $155,401.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,825.78 / $73,790.03 / $107,504.50
| Facility | | $30,825.78 | $73,790.03 | $107,504.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,158.94 / $68,615.67 / $114,947.29
| Facility | | $51,158.94 | $68,615.67 | $114,947.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,633.93 / $59,866.95 / $72,896.82
| Facility | | $40,633.93 | $59,866.95 | $72,896.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,093.73 / $65,268.56 / $100,609.21
| Facility | | $21,093.73 | $65,268.56 | $100,609.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,836.91 / $71,209.03 / $96,812.57
| Facility | | $50,836.91 | $71,209.03 | $96,812.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,284.57 / $77,864.19 / $112,022.39
| Facility | | $29,284.57 | $77,864.19 | $112,022.39 |