- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,935.50 / $118,146.00 / $150,541.00
| Facility | | $85,935.50 | $118,146.00 | $150,541.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,242.17 / $131,421.43 / $186,419.58
| Facility | | $86,242.17 | $131,421.43 | $186,419.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,176.02 / $122,453.53 / $171,310.55
| Facility | | $72,176.02 | $122,453.53 | $171,310.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,121.00 / $115,797.00 / $151,662.00
| Facility | | $75,121.00 | $115,797.00 | $151,662.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $98,852.87 / $204,127.61
| Facility | | $5,274.00 | $98,852.87 | $204,127.61 |