- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,998.80 / $85,393.60 / $144,179.00
| Facility | | $38,998.80 | $85,393.60 | $144,179.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,420.63 / $154,953.01 / $200,926.36
| Facility | | $104,420.63 | $154,953.01 | $200,926.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,128.21 / $121,730.03 / $178,692.85
| Facility | | $85,128.21 | $121,730.03 | $178,692.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,642.24 / $120,368.57 / $252,416.70
| Facility | | $62,642.24 | $120,368.57 | $252,416.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,128.21 / $132,534.82 / $179,677.99
| Facility | | $85,128.21 | $132,534.82 | $179,677.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $109,213.44 / $168,656.00
| Facility | | $9,114.00 | $109,213.44 | $168,656.00 |