- 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
- $44,262.61 / $74,635.96 / $119,776.59
| Facility | | $44,262.61 | $74,635.96 | $119,776.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,166.00 / $57,024.81 / $109,250.90
| Facility | | $30,166.00 | $57,024.81 | $109,250.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,315.89 / $76,532.47 / $113,282.01
| Facility | | $52,315.89 | $76,532.47 | $113,282.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,329.20 / $62,329.20 / $108,469.96
| Facility | | $62,329.20 | $62,329.20 | $108,469.96 |