- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,624.30 / $95,099.50 / $167,470.00
| Facility | | $59,624.30 | $95,099.50 | $167,470.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,155.50 / $78,638.24 / $116,505.90
| Facility | | $29,155.50 | $78,638.24 | $116,505.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,132.35 / $73,944.92 / $123,875.01
| Facility | | $55,132.35 | $73,944.92 | $123,875.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,378.45 / $65,828.39 / $85,741.01
| Facility | | $46,378.45 | $65,828.39 | $85,741.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,857.17 / $73,292.75 / $106,154.53
| Facility | | $22,857.17 | $73,292.75 | $106,154.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,638.91 / $78,590.42 / $106,948.00
| Facility | | $53,638.91 | $78,590.42 | $106,948.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $59,566.74 / $162,755.60
| Facility | | $3,775.00 | $59,566.74 | $162,755.60 |