- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,043.20 / $90,982.70 / $160,221.00
| Facility | | $57,043.20 | $90,982.70 | $160,221.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,828.39 / $73,355.67 / $107,597.87
| Facility | | $27,828.39 | $73,355.67 | $107,597.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,745.72 / $70,743.91 / $118,512.57
| Facility | | $52,745.72 | $70,743.91 | $118,512.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,240.32 / $59,074.51 / $68,198.61
| Facility | | $37,240.32 | $59,074.51 | $68,198.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,489.64 / $66,117.14 / $96,227.22
| Facility | | $18,489.64 | $66,117.14 | $96,227.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,957.66 / $70,405.56 / $96,119.77
| Facility | | $46,957.66 | $70,405.56 | $96,119.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $56,988.15 / $155,710.06
| Facility | | $3,775.00 | $56,988.15 | $155,710.06 |