- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,124.60 / $82,106.50 / $138,019.00
| Facility | | $25,124.60 | $82,106.50 | $138,019.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,780.76 / $135,894.98 / $174,682.05
| Facility | | $87,780.76 | $135,894.98 | $174,682.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,491.17 / $116,529.20 / $171,058.34
| Facility | | $81,491.17 | $116,529.20 | $171,058.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,965.90 / $115,225.92 / $241,632.39
| Facility | | $59,965.90 | $115,225.92 | $241,632.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,437.67 / $10,437.67 / $43,272.03
| Facility | | $10,437.67 | $10,437.67 | $43,272.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,491.17 / $126,872.37 / $172,001.39
| Facility | | $81,491.17 | $126,872.37 | $172,001.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $104,547.38 / $159,582.19
| Facility | | $9,114.00 | $104,547.38 | $159,582.19 |