- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,142.69 / $74,947.10 / $97,854.00
| Facility | | $36,142.69 | $74,947.10 | $97,854.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $67,558.07 / $183,274.44
| Facility | | $5,840.42 | $67,558.07 | $183,274.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,347.60 / $70,022.67 / $107,145.50
| Facility | | $42,347.60 | $70,022.67 | $107,145.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99,439.40 / $99,439.40 / $99,439.40
| Facility | | $99,439.40 | $99,439.40 | $99,439.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,014.61 / $70,541.53 / $108,932.70
| Facility | | $61,014.61 | $70,541.53 | $108,932.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $67,558.07 / $183,274.44
| Facility | | $5,840.42 | $67,558.07 | $183,274.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $53,226.84 / $143,230.60
| Facility | | $5,840.42 | $53,226.84 | $143,230.60 |