- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89,673.10 / $89,673.10 / $106,280.00
| Facility | | $89,673.10 | $89,673.10 | $106,280.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,542.24 / $101,759.56 / $152,226.10
| Facility | | $62,542.24 | $101,759.56 | $152,226.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,341.53 / $90,775.68 / $154,444.29
| Facility | | $73,341.53 | $90,775.68 | $154,444.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,617.42 / $105,283.30 / $172,333.59
| Facility | | $65,617.42 | $105,283.30 | $172,333.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $920.03 / $58,065.51 / $82,961.64
| Facility | | $920.03 | $58,065.51 | $82,961.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,669.39 / $104,015.43 / $122,244.21
| Facility | | $74,669.39 | $104,015.43 | $122,244.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,594.66 / $110,126.53 / $139,858.54
| Facility | | $62,594.66 | $110,126.53 | $139,858.54 |