- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,701.20 / $113,314.00 / $183,945.00
| Facility | | $77,701.20 | $113,314.00 | $183,945.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $146,785.73 / $208,677.83 / $267,535.68
| Facility | | $146,785.73 | $208,677.83 | $267,535.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,907.50 / $158,743.54 / $211,334.31
| Facility | | $75,907.50 | $158,743.54 | $211,334.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,068.30 / $121,861.00 / $194,862.00
| Facility | | $81,068.30 | $121,861.00 | $194,862.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94,808.41 / $162,123.54 / $246,312.80
| Facility | | $94,808.41 | $162,123.54 | $246,312.80 |