- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,173.20 / $103,950.00 / $183,056.00
| Facility | | $65,173.20 | $103,950.00 | $183,056.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,649.00 / $90,788.59 / $131,980.59
| Facility | | $44,649.00 | $90,788.59 | $131,980.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,263.18 / $80,826.52 / $135,403.29
| Facility | | $60,263.18 | $80,826.52 | $135,403.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,588.42 / $71,398.80 / $85,373.09
| Facility | | $47,588.42 | $71,398.80 | $85,373.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,486.93 / $82,051.73 / $123,515.41
| Facility | | $23,486.93 | $82,051.73 | $123,515.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,411.20 / $88,313.09 / $120,165.69
| Facility | | $62,411.20 | $88,313.09 | $120,165.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $65,110.25 / $177,902.27
| Facility | | $3,775.00 | $65,110.25 | $177,902.27 |