- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,666.20 / $102,182.00 / $172,525.00
| Facility | | $46,666.20 | $102,182.00 | $172,525.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112,684.79 / $167,216.45 / $216,828.27
| Facility | | $112,684.79 | $167,216.45 | $216,828.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101,864.83 / $145,662.75 / $213,824.74
| Facility | | $101,864.83 | $145,662.75 | $213,824.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,958.00 / $144,033.62 / $302,043.06
| Facility | | $74,958.00 | $144,033.62 | $302,043.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101,864.83 / $158,591.82 / $215,003.57
| Facility | | $101,864.83 | $158,591.82 | $215,003.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $130,685.34 / $201,637.69
| Facility | | $9,114.00 | $130,685.34 | $201,637.69 |