- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,017.20 / $111,533.00 / $130,438.00
| Facility | | $72,017.20 | $111,533.00 | $130,438.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,083.41 / $109,308.61 / $154,559.60
| Facility | | $72,083.41 | $109,308.61 | $154,559.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,206.00 / $91,604.39 / $143,564.59
| Facility | | $34,206.00 | $91,604.39 | $143,564.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,432.00 / $88,692.00 / $133,610.00
| Facility | | $53,432.00 | $88,692.00 | $133,610.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $104,016.93 / $171,478.32
| Facility | | $5,274.00 | $104,016.93 | $171,478.32 |