- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,358.20 / $55,525.40 / $93,749.00
| Facility | | $25,358.20 | $55,525.40 | $93,749.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,850.30 / $88,813.72 / $115,164.06
| Facility | | $59,850.30 | $88,813.72 | $115,164.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,352.79 / $79,152.33 / $116,191.19
| Facility | | $55,352.79 | $79,152.33 | $116,191.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,731.76 / $78,267.08 / $164,128.54
| Facility | | $40,731.76 | $78,267.08 | $164,128.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,352.79 / $86,177.92 / $116,831.75
| Facility | | $55,352.79 | $86,177.92 | $116,831.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $71,013.69 / $108,396.03
| Facility | | $9,114.00 | $71,013.69 | $108,396.03 |