- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,003.38 / $76,773.20 / $139,910.00
| Facility | | $48,003.38 | $76,773.20 | $139,910.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,668.89 / $66,328.74 / $112,590.50
| Facility | | $41,668.89 | $66,328.74 | $112,590.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,548.13 / $78,673.46 / $109,674.00
| Facility | | $55,548.13 | $78,673.46 | $109,674.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,240.00 / $78,581.41 / $185,023.23
| Facility | | $9,240.00 | $78,581.41 | $185,023.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,226.00 / $77,595.12 / $110,202.03
| Facility | | $9,226.00 | $77,595.12 | $110,202.03 |