- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,330.80 / $91,604.40 / $141,429.00
| Facility | | $62,330.80 | $91,604.40 | $141,429.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $121,840.82 / $173,214.93 / $222,070.42
| Facility | | $121,840.82 | $173,214.93 | $222,070.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,363.03 / $122,052.91 / $162,488.28
| Facility | | $58,363.03 | $122,052.91 | $162,488.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,330.80 / $93,695.40 / $149,823.00
| Facility | | $62,330.80 | $93,695.40 | $149,823.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,895.20 / $124,651.68 / $189,382.14
| Facility | | $72,895.20 | $124,651.68 | $189,382.14 |