- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,572.90 / $61,443.90 / $103,742.00
| Facility | | $26,572.90 | $61,443.90 | $103,742.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,390.64 / $98,371.74 / $127,557.87
| Facility | | $66,390.64 | $98,371.74 | $127,557.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,252.99 / $87,350.36 / $128,576.31
| Facility | | $61,252.99 | $87,350.36 | $128,576.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,886.86 / $85,645.00 / $170,807.34
| Facility | | $48,886.86 | $85,645.00 | $170,807.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,566.41 / $35,566.41 / $35,566.41
| Facility | | $35,566.41 | $35,566.41 | $35,566.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,252.99 / $94,266.02 / $129,285.16
| Facility | | $61,252.99 | $94,266.02 | $129,285.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $78,583.23 / $131,717.00
| Facility | | $9,114.00 | $78,583.23 | $131,717.00 |