- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,690.89 / $81,690.89 / $96,819.90
| Facility | | $81,690.89 | $81,690.89 | $96,819.90 |
- 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
- $59,774.26 / $81,083.87 / $93,972.00
| Facility | | $59,774.26 | $81,083.87 | $93,972.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,776.54 / $95,911.60 / $156,993.47
| Facility | | $59,776.54 | $95,911.60 | $156,993.47 |
- 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
- $68,022.77 / $94,756.59 / $111,362.75
| Facility | | $68,022.77 | $94,756.59 | $111,362.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,390.53 / $101,071.74 / $127,409.16
| Facility | | $61,390.53 | $101,071.74 | $127,409.16 |