- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,258.70 / $72,393.00 / $111,768.00
| Facility | | $49,258.70 | $72,393.00 | $111,768.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $119,242.90 / $169,521.60 / $217,335.38
| Facility | | $119,242.90 | $169,521.60 | $217,335.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,019.52 / $96,455.75 / $128,410.95
| Facility | | $48,019.52 | $96,455.75 | $128,410.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,258.70 / $74,045.39 / $118,402.00
| Facility | | $49,258.70 | $74,045.39 | $118,402.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,607.48 / $98,509.51 / $149,664.57
| Facility | | $57,607.48 | $98,509.51 | $149,664.57 |