- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94,042.10 / $113,803.00 / $140,158.00
| Facility | | $94,042.10 | $113,803.00 | $140,158.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,046.37 / $100,518.27 / $102,259.61
| Facility | | $92,046.37 | $100,518.27 | $102,259.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $150.00 / $150.00
| Facility | | $150.00 | $150.00 | $150.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89,806.10 / $116,102.27 / $181,930.73
| Facility | | $89,806.10 | $116,102.27 | $181,930.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110,085.85 / $146,712.65 / $193,621.18
| Facility | | $110,085.85 | $146,712.65 | $193,621.18 |