- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,771.20 / $77,555.10 / $119,738.00
| Facility | | $52,771.20 | $77,555.10 | $119,738.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98,905.32 / $141,194.51 / $181,115.28
| Facility | | $98,905.32 | $141,194.51 | $181,115.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,411.51 / $103,333.71 / $137,567.54
| Facility | | $49,411.51 | $103,333.71 | $137,567.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,771.20 / $79,325.39 / $126,845.00
| Facility | | $52,771.20 | $79,325.39 | $126,845.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,222.16 / $105,533.92 / $160,336.70
| Facility | | $57,222.16 | $105,533.92 | $160,336.70 |