- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,501.70 / $81,423.39 / $110,933.00
| Facility | | $50,501.70 | $81,423.39 | $110,933.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,581.78 / $68,988.14 / $157,650.65
| Facility | | $37,581.78 | $68,988.14 | $157,650.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $57,601.58 / $109,489.50
| Facility | | $100.00 | $57,601.58 | $109,489.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,403.87 / $84,763.31 / $151,925.73
| Facility | | $53,403.87 | $84,763.31 | $151,925.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,845.78 / $118,844.55 / $139,474.17
| Facility | | $81,845.78 | $118,844.55 | $139,474.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,016.38 / $72,107.84 / $151,925.73
| Facility | | $52,016.38 | $72,107.84 | $151,925.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $66,475.56 / $136,093.51
| Facility | | $5,693.00 | $66,475.56 | $136,093.51 |