- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $102,329.30 / $199,526.23
| Facility | | $28,840.32 | $102,329.30 | $199,526.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107,151.93 / $158,489.32 / $194,984.46
| Facility | | $107,151.93 | $158,489.32 | $194,984.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $114,815.36 / $162,181.01
| Facility | | $15,488.17 | $114,815.36 | $162,181.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,069.34 / $117,489.76 / $301,995.17
| Facility | | $66,069.34 | $117,489.76 | $301,995.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $77,624.71 / $158,489.32
| Facility | | $8,317.64 | $77,624.71 | $158,489.32 |