- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,496.10 / $102,870.00 / $181,154.00
| Facility | | $64,496.10 | $102,870.00 | $181,154.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,460.00 / $82,042.86 / $120,581.38
| Facility | | $39,460.00 | $82,042.86 | $120,581.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,637.08 / $79,986.78 / $133,996.54
| Facility | | $59,637.08 | $79,986.78 | $133,996.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,368.75 / $69,067.35 / $77,803.06
| Facility | | $43,368.75 | $69,067.35 | $77,803.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,574.59 / $75,200.67 / $111,617.09
| Facility | | $24,574.59 | $75,200.67 | $111,617.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,399.09 / $80,290.48 / $109,195.05
| Facility | | $56,399.09 | $80,290.48 | $109,195.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $64,433.80 / $176,053.98
| Facility | | $3,775.00 | $64,433.80 | $176,053.98 |