- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,158.60 / $74,795.20 / $126,284.00
| Facility | | $34,158.60 | $74,795.20 | $126,284.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82,809.98 / $128,199.63 / $164,790.29
| Facility | | $82,809.98 | $128,199.63 | $164,790.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,562.74 / $106,621.81 / $156,514.84
| Facility | | $74,562.74 | $106,621.81 | $156,514.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,867.55 / $105,429.33 / $221,088.64
| Facility | | $54,867.55 | $105,429.33 | $221,088.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,562.74 / $116,085.60 / $157,377.71
| Facility | | $74,562.74 | $116,085.60 | $157,377.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $95,658.69 / $146,014.41
| Facility | | $9,114.00 | $95,658.69 | $146,014.41 |