- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,465.50 / $74,465.30 / $163,238.00
| Facility | | $38,465.50 | $74,465.30 | $163,238.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,579.59 / $81,566.32 / $134,933.07
| Facility | | $55,579.59 | $81,566.32 | $134,933.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,332.33 / $80,184.47 / $108,880.39
| Facility | | $41,332.33 | $80,184.47 | $108,880.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,369.53 / $171,134.35 / $200,840.69
| Facility | | $81,369.53 | $171,134.35 | $200,840.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $81,908.50 / $115,475.42
| Facility | | $1,787.00 | $81,908.50 | $115,475.42 |