- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89,170.80 / $89,170.80 / $105,685.00
| Facility | | $89,170.80 | $89,170.80 | $105,685.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,773.20 / $107,016.50 / $160,090.17
| Facility | | $65,773.20 | $107,016.50 | $160,090.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,247.39 / $88,508.18 / $102,576.40
| Facility | | $65,247.39 | $88,508.18 | $102,576.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,249.89 / $104,693.60 / $171,368.33
| Facility | | $65,249.89 | $104,693.60 | $171,368.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $740.49 / $61,065.20 / $87,247.49
| Facility | | $740.49 | $61,065.20 | $87,247.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,251.17 / $103,432.82 / $121,559.50
| Facility | | $74,251.17 | $103,432.82 | $121,559.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,011.66 / $110,326.22 / $139,075.18
| Facility | | $67,011.66 | $110,326.22 | $139,075.18 |