- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,019.90 / $90,945.50 / $160,155.00
| Facility | | $57,019.90 | $90,945.50 | $160,155.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,206.22 / $72,627.92 / $105,580.20
| Facility | | $27,206.22 | $72,627.92 | $105,580.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,724.18 / $70,715.02 / $118,464.17
| Facility | | $52,724.18 | $70,715.02 | $118,464.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,820.05 / $57,255.00 / $67,848.75
| Facility | | $37,820.05 | $57,255.00 | $67,848.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,543.82 / $65,768.07 / $98,808.33
| Facility | | $18,543.82 | $65,768.07 | $98,808.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,926.94 / $70,647.61 / $96,128.67
| Facility | | $49,926.94 | $70,647.61 | $96,128.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $56,964.87 / $155,646.47
| Facility | | $3,775.00 | $56,964.87 | $155,646.47 |