- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,807.60 / $62,427.80 / $101,340.00
| Facility | | $42,807.60 | $62,427.80 | $101,340.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,653.79 / $135,986.14 / $174,341.21
| Facility | | $95,653.79 | $135,986.14 | $174,341.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,881.46 / $87,455.93 / $116,429.54
| Facility | | $46,881.46 | $87,455.93 | $116,429.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,662.60 / $67,136.60 / $107,354.00
| Facility | | $44,662.60 | $67,136.60 | $107,354.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,232.41 / $89,318.06 / $135,700.09
| Facility | | $52,232.41 | $89,318.06 | $135,700.09 |