- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90,352.80 / $90,352.80 / $107,086.00
| Facility | | $90,352.80 | $90,352.80 | $107,086.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,248.31 / $107,789.53 / $161,246.57
| Facility | | $66,248.31 | $107,789.53 | $161,246.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,897.46 / $91,463.75 / $155,614.97
| Facility | | $73,897.46 | $91,463.75 | $155,614.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,114.78 / $106,081.34 / $173,639.87
| Facility | | $66,114.78 | $106,081.34 | $173,639.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $974.54 / $61,506.30 / $88,604.40
| Facility | | $974.54 | $61,506.30 | $88,604.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,235.39 / $104,803.86 / $123,170.81
| Facility | | $75,235.39 | $104,803.86 | $123,170.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,899.92 / $111,788.63 / $140,918.67
| Facility | | $67,899.92 | $111,788.63 | $140,918.67 |