- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,637.40 / $99,017.40 / $160,562.00
| Facility | | $62,637.40 | $99,017.40 | $160,562.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,839.07 / $85,754.07 / $195,963.91
| Facility | | $48,839.07 | $85,754.07 | $195,963.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,684.00 / $74,561.75 / $143,290.62
| Facility | | $1,684.00 | $74,561.75 | $143,290.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,344.28 / $105,959.79 / $183,900.60
| Facility | | $72,344.28 | $105,959.79 | $183,900.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101,736.45 / $147,726.90 / $173,370.06
| Facility | | $101,736.45 | $147,726.90 | $173,370.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,119.82 / $87,824.36 / $183,900.60
| Facility | | $64,119.82 | $87,824.36 | $183,900.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $80,466.25 / $164,736.26
| Facility | | $5,693.00 | $80,466.25 | $164,736.26 |