- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,430.59 / $63,498.80 / $106,740.00
| Facility | | $19,430.59 | $63,498.80 | $106,740.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,245.31 / $91,157.28 / $118,202.93
| Facility | | $62,245.31 | $91,157.28 | $118,202.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,022.87 / $90,120.26 / $132,291.48
| Facility | | $63,022.87 | $90,120.26 | $132,291.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,375.86 / $89,112.33 / $186,871.38
| Facility | | $46,375.86 | $89,112.33 | $186,871.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,022.87 / $98,119.36 / $133,020.81
| Facility | | $63,022.87 | $98,119.36 | $133,020.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $80,853.87 / $124,751.46
| Facility | | $9,114.00 | $80,853.87 | $124,751.46 |