- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,115.60 / $121,403.00 / $213,790.00
| Facility | | $76,115.60 | $121,403.00 | $213,790.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,667.54 / $115,969.34 / $167,793.83
| Facility | | $38,667.54 | $115,969.34 | $167,793.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,381.23 / $94,397.11 / $158,137.22
| Facility | | $70,381.23 | $94,397.11 | $158,137.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,209.39 / $83,551.05 / $95,297.18
| Facility | | $54,209.39 | $83,551.05 | $95,297.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,008.03 / $100,501.59 / $159,948.00
| Facility | | $25,008.03 | $100,501.59 | $159,948.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,955.99 / $113,625.02 / $154,089.76
| Facility | | $81,955.99 | $113,625.02 | $154,089.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $76,042.12 / $207,771.67
| Facility | | $3,775.00 | $76,042.12 | $207,771.67 |