- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,849.70 / $63,449.80 / $106,657.00
| Facility | | $28,849.70 | $63,449.80 | $106,657.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,137.69 / $101,111.63 / $131,110.66
| Facility | | $68,137.69 | $101,111.63 | $131,110.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,974.24 / $89,804.96 / $132,189.40
| Facility | | $62,974.24 | $89,804.96 | $132,189.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,340.07 / $87,615.04 / $175,607.15
| Facility | | $46,340.07 | $87,615.04 | $175,607.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,974.24 / $96,914.96 / $132,918.16
| Facility | | $62,974.24 | $96,914.96 | $132,918.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $80,791.47 / $124,655.19
| Facility | | $9,114.00 | $80,791.47 | $124,655.19 |