- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,749.20 / $60,761.00 / $102,589.00
| Facility | | $27,749.20 | $60,761.00 | $102,589.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,803.21 / $111,002.80 / $143,936.46
| Facility | | $74,803.21 | $111,002.80 | $143,936.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,572.13 / $86,615.79 / $127,147.12
| Facility | | $60,572.13 | $86,615.79 | $127,147.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,572.46 / $85,647.06 / $179,604.59
| Facility | | $44,572.46 | $85,647.06 | $179,604.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,572.13 / $94,303.83 / $127,848.08
| Facility | | $60,572.13 | $94,303.83 | $127,848.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $77,709.73 / $119,900.30
| Facility | | $9,114.00 | $77,709.73 | $119,900.30 |