- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,306.00 / $78,117.80 / $78,117.80
| Facility | | $70,306.00 | $78,117.80 | $78,117.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,412.00 / $29,412.00 / $29,412.00
| Facility | | $29,412.00 | $29,412.00 | $29,412.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,623.49 / $51,299.91 / $117,603.91
| Facility | | $26,623.49 | $51,299.91 | $117,603.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,753.02 / $88,188.38 / $135,171.09
| Facility | | $48,753.02 | $88,188.38 | $135,171.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,882.46 / $116,706.07 / $150,687.07
| Facility | | $65,882.46 | $116,706.07 | $150,687.07 |