- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,959.30 / $69,146.10 / $121,677.00
| Facility | | $40,959.30 | $69,146.10 | $121,677.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,970.46 / $32,490.51 / $53,006.66
| Facility | | $22,970.46 | $32,490.51 | $53,006.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,258.92 / $62,679.14 / $86,001.36
| Facility | | $37,258.92 | $62,679.14 | $86,001.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $142,975.45 / $142,975.45 / $167,793.83
| Facility | | $142,975.45 | $142,975.45 | $167,793.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $60,260.25 / $86,074.87
| Facility | | $1,787.00 | $60,260.25 | $86,074.87 |