- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,654.10 / $64,932.00 / $109,631.00
| Facility | | $29,654.10 | $64,932.00 | $109,631.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,365.07 / $113,320.50 / $146,941.81
| Facility | | $76,365.07 | $113,320.50 | $146,941.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,730.23 / $92,561.71 / $135,875.40
| Facility | | $64,730.23 | $92,561.71 | $135,875.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,632.23 / $91,526.48 / $191,933.93
| Facility | | $47,632.23 | $91,526.48 | $191,933.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,730.23 / $100,777.52 / $136,624.49
| Facility | | $64,730.23 | $100,777.52 | $136,624.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $83,044.28 / $126,759.65
| Facility | | $9,114.00 | $83,044.28 | $126,759.65 |