- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,530.00 / $73,418.80 / $123,960.00
| Facility | | $33,530.00 | $73,418.80 | $123,960.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,541.06 / $118,033.45 / $153,053.06
| Facility | | $79,541.06 | $118,033.45 | $153,053.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,190.60 / $104,659.71 / $153,634.57
| Facility | | $73,190.60 | $104,659.71 | $153,634.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,857.86 / $103,489.17 / $217,020.06
| Facility | | $53,857.86 | $103,489.17 | $217,020.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,190.60 / $113,949.33 / $154,481.57
| Facility | | $73,190.60 | $113,949.33 | $154,481.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $93,898.33 / $144,878.10
| Facility | | $9,114.00 | $93,898.33 | $144,878.10 |