- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,097.30 / $118,017.00 / $165,855.00
| Facility | | $65,097.30 | $118,017.00 | $165,855.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,459.92 / $8,459.92 / $8,639.91
| Facility | | $8,459.92 | $8,459.92 | $8,639.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,959.04 / $105,608.12 / $152,168.09
| Facility | | $53,959.04 | $105,608.12 | $152,168.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $118,948.09 / $118,948.09 / $144,436.97
| Facility | | $118,948.09 | $118,948.09 | $144,436.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82,270.88 / $108,709.92 / $166,996.00
| Facility | | $82,270.88 | $108,709.92 | $166,996.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,981.80 / $113,354.00 / $165,416.00
| Facility | | $64,981.80 | $113,354.00 | $165,416.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,137.40 / $97,451.10 / $150,500.59
| Facility | | $55,137.40 | $97,451.10 | $150,500.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,573.71 / $90,268.59 / $165,046.07
| Facility | | $33,573.71 | $90,268.59 | $165,046.07 |