- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,853.50 / $83,303.60 / $138,162.00
| Facility | | $64,853.50 | $83,303.60 | $138,162.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,134.37 / $82,594.53 / $139,916.84
| Facility | | $55,134.37 | $82,594.53 | $139,916.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102,684.73 / $102,684.73 / $102,684.73
| Facility | | $102,684.73 | $102,684.73 | $102,684.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,886.08 / $85,265.60 / $246,539.03
| Facility | | $42,886.08 | $85,265.60 | $246,539.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,886.08 / $85,080.11 / $119,575.90
| Facility | | $42,886.08 | $85,080.11 | $119,575.90 |