- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,113.80 / $102,329.30 / $104,712.85
| Facility | | $85,113.80 | $102,329.30 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $109,647.82 / $158,489.32
| Facility | | $63,095.73 | $109,647.82 | $158,489.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,069.34 / $89,125.09 / $158,489.32
| Facility | | $66,069.34 | $89,125.09 | $158,489.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,131.02 / $85,113.80 / $109,647.82
| Facility | | $74,131.02 | $85,113.80 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $100,000.00 / $165,958.69
| Facility | | $63,095.73 | $100,000.00 | $165,958.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724.44 / $64,565.42 / $85,113.80
| Facility | | $724.44 | $64,565.42 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93,325.43 / $117,489.76 / $120,226.44
| Facility | | $93,325.43 | $117,489.76 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,565.42 / $107,151.93 / $147,910.84
| Facility | | $64,565.42 | $107,151.93 | $147,910.84 |