- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,508.30 / $62,423.10 / $105,395.00
| Facility | | $28,508.30 | $62,423.10 | $105,395.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,046.33 / $114,331.44 / $148,252.69
| Facility | | $77,046.33 | $114,331.44 | $148,252.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,229.12 / $88,985.22 / $130,625.31
| Facility | | $62,229.12 | $88,985.22 | $130,625.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,791.77 / $87,989.99 / $184,517.78
| Facility | | $45,791.77 | $87,989.99 | $184,517.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,097.24 / $35,097.24 / $35,097.24
| Facility | | $35,097.24 | $35,097.24 | $35,097.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,229.12 / $96,883.57 / $131,345.45
| Facility | | $62,229.12 | $96,883.57 | $131,345.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $79,835.53 / $123,180.25
| Facility | | $9,114.00 | $79,835.53 | $123,180.25 |