- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,697.30 / $62,286.00 / $106,616.00
| Facility | | $24,697.30 | $62,286.00 | $106,616.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,428.17 / $107,470.24 / $139,355.82
| Facility | | $70,428.17 | $107,470.24 | $139,355.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,819.21 / $88,399.07 / $129,764.87
| Facility | | $61,819.21 | $88,399.07 | $129,764.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,490.14 / $87,410.39 / $183,302.36
| Facility | | $45,490.14 | $87,410.39 | $183,302.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,819.21 / $96,245.39 / $130,480.27
| Facility | | $61,819.21 | $96,245.39 | $130,480.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $79,309.64 / $122,368.86
| Facility | | $9,114.00 | $79,309.64 | $122,368.86 |