- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,061.40 / $147,280.00 / $191,802.00
| Facility | | $85,061.40 | $147,280.00 | $191,802.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107,571.16 / $163,923.93 / $232,523.95
| Facility | | $107,571.16 | $163,923.93 | $232,523.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,806.00 / $139,267.94 / $218,264.05
| Facility | | $45,806.00 | $139,267.94 | $218,264.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80,819.00 / $146,052.00 / $191,635.00
| Facility | | $80,819.00 | $146,052.00 | $191,635.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $124,220.46 / $260,075.74
| Facility | | $5,274.00 | $124,220.46 | $260,075.74 |