- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,169.40 / $91,169.40 / $108,054.00
| Facility | | $91,169.40 | $91,169.40 | $108,054.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,566.50 / $108,307.25 / $162,021.04
| Facility | | $66,566.50 | $108,307.25 | $162,021.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,565.31 / $92,290.35 / $157,021.34
| Facility | | $74,565.31 | $92,290.35 | $157,021.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,712.30 / $107,040.05 / $175,209.14
| Facility | | $66,712.30 | $107,040.05 | $175,209.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $979.22 / $61,801.72 / $89,405.16
| Facility | | $979.22 | $61,801.72 | $89,405.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,915.33 / $105,751.02 / $124,283.97
| Facility | | $75,915.33 | $105,751.02 | $124,283.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,513.56 / $112,798.92 / $142,192.22
| Facility | | $68,513.56 | $112,798.92 | $142,192.22 |