- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,443.50 / $63,210.90 / $111,233.00
| Facility | | $37,443.50 | $63,210.90 | $111,233.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,758.62 / $95,659.81 / $154,310.93
| Facility | | $63,758.62 | $95,659.81 | $154,310.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,060.76 / $57,299.01 / $78,619.33
| Facility | | $34,060.76 | $57,299.01 | $78,619.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,801.56 / $111,050.90 / $130,327.66
| Facility | | $52,801.56 | $111,050.90 | $130,327.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $58,089.68 / $78,265.37
| Facility | | $2,520.00 | $58,089.68 | $78,265.37 |