- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102,512.54 / $116,941.46 / $116,941.46
| Facility | | $102,512.54 | $116,941.46 | $116,941.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,553.28 / $107,682.51 / $174,684.03
| Facility | | $64,553.28 | $107,682.51 | $174,684.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,166.00 / $84,762.71 / $162,392.51
| Facility | | $30,166.00 | $84,762.71 | $162,392.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,292.63 / $113,759.24 / $167,125.44
| Facility | | $76,292.63 | $113,759.24 | $167,125.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,647.25 / $92,647.25 / $161,231.71
| Facility | | $92,647.25 | $92,647.25 | $161,231.71 |