- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $73,325.10 / $148,103.00
| Facility | | $3,182.00 | $73,325.10 | $148,103.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $51,751.43 / $132,350.48
| Facility | | $1,474.01 | $51,751.43 | $132,350.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,983.84 / $91,061.98 / $136,191.59
| Facility | | $61,983.84 | $91,061.98 | $136,191.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,624.95 / $78,669.11 / $166,535.39
| Facility | | $54,624.95 | $78,669.11 | $166,535.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,597.00 / $80,633.92 / $171,527.71
| Facility | | $54,597.00 | $80,633.92 | $171,527.71 |