- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,244.60 / $95,148.40 / $154,456.00
| Facility | | $65,244.60 | $95,148.40 | $154,456.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154,259.62 / $219,303.08 / $281,157.80
| Facility | | $154,259.62 | $219,303.08 | $281,157.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,738.19 / $133,294.72 / $177,454.44
| Facility | | $63,738.19 | $133,294.72 | $177,454.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,071.89 / $102,325.00 / $163,623.00
| Facility | | $68,071.89 | $102,325.00 | $163,623.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,609.28 / $136,132.85 / $206,825.38
| Facility | | $79,609.28 | $136,132.85 | $206,825.38 |