- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,590.80 / $104,902.00 / $128,915.00
| Facility | | $73,590.80 | $104,902.00 | $128,915.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,310.89 / $101,048.86 / $143,336.48
| Facility | | $66,310.89 | $101,048.86 | $143,336.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,254.54 / $93,605.97 / $145,005.09
| Facility | | $39,254.54 | $93,605.97 | $145,005.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,610.00 / $94,573.00 / $128,356.00
| Facility | | $61,610.00 | $94,573.00 | $128,356.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $83,615.00 / $174,804.35
| Facility | | $5,274.00 | $83,615.00 | $174,804.35 |