- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,186.00 / $54,714.90 / $93,216.40
| Facility | | $15,186.00 | $54,714.90 | $93,216.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,553.46 / $91,341.08 / $118,441.27
| Facility | | $61,553.46 | $91,341.08 | $118,441.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,941.59 / $79,994.30 / $117,427.15
| Facility | | $55,941.59 | $79,994.30 | $117,427.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,613.00 / $71,266.64 / $147,934.56
| Facility | | $18,613.00 | $71,266.64 | $147,934.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,307.11 / $86,091.98 / $118,074.53
| Facility | | $47,307.11 | $86,091.98 | $118,074.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $70,925.24 / $110,734.32
| Facility | | $9,114.00 | $70,925.24 | $110,734.32 |