- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88,194.90 / $88,194.90 / $104,528.00
| Facility | | $88,194.90 | $88,194.90 | $104,528.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,445.60 / $103,229.37 / $154,424.85
| Facility | | $63,445.60 | $103,229.37 | $154,424.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,132.52 / $89,279.26 / $151,898.32
| Facility | | $72,132.52 | $89,279.26 | $151,898.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,535.73 / $103,547.74 / $169,492.72
| Facility | | $64,535.73 | $103,547.74 | $169,492.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.31 / $58,904.21 / $86,488.21
| Facility | | $933.31 | $58,904.21 | $86,488.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,438.50 / $102,300.76 / $120,229.05
| Facility | | $73,438.50 | $102,300.76 | $120,229.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,278.22 / $109,118.71 / $137,553.01
| Facility | | $66,278.22 | $109,118.71 | $137,553.01 |