- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,696.50 / $122,329.00 / $215,422.00
| Facility | | $76,696.50 | $122,329.00 | $215,422.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,626.98 / $104,875.32 / $152,458.65
| Facility | | $44,626.98 | $104,875.32 | $152,458.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,918.30 / $95,117.44 / $159,343.93
| Facility | | $70,918.30 | $95,117.44 | $159,343.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,756.85 / $84,126.90 / $97,940.86
| Facility | | $58,756.85 | $84,126.90 | $97,940.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,162.31 / $93,172.94 / $143,639.89
| Facility | | $31,162.31 | $93,172.94 | $143,639.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,094.91 / $100,985.86 / $137,295.78
| Facility | | $72,094.91 | $100,985.86 | $137,295.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $76,622.38 / $209,357.13
| Facility | | $3,775.00 | $76,622.38 | $209,357.13 |