- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,659.10 / $73,528.00 / $127,682.00
| Facility | | $31,659.10 | $73,528.00 | $127,682.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,631.72 / $119,763.90 / $153,946.85
| Facility | | $79,631.72 | $119,763.90 | $153,946.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,976.96 / $104,354.21 / $153,186.13
| Facility | | $72,976.96 | $104,354.21 | $153,186.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,700.65 / $103,187.09 / $216,386.60
| Facility | | $53,700.65 | $103,187.09 | $216,386.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,976.96 / $113,616.73 / $154,030.66
| Facility | | $72,976.96 | $113,616.73 | $154,030.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $92,853.00 / $142,909.01
| Facility | | $9,114.00 | $92,853.00 | $142,909.01 |