- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,211.40 / $84,765.10 / $149,162.00
| Facility | | $50,211.40 | $84,765.10 | $149,162.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,308.44 / $39,980.72 / $67,255.09
| Facility | | $27,308.44 | $39,980.72 | $67,255.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,675.10 / $76,837.32 / $105,427.64
| Facility | | $45,675.10 | $76,837.32 | $105,427.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $161,106.75 / $161,106.75 / $189,072.45
| Facility | | $161,106.75 | $161,106.75 | $189,072.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $67,316.99 / $104,952.98
| Facility | | $2,520.00 | $67,316.99 | $104,952.98 |