- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,871.20 / $66,895.50 / $108,592.00
| Facility | | $45,871.20 | $66,895.50 | $108,592.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78,742.96 / $111,944.87 / $143,519.06
| Facility | | $78,742.96 | $111,944.87 | $143,519.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,019.52 / $93,714.86 / $124,762.02
| Facility | | $48,019.52 | $93,714.86 | $124,762.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,858.90 / $71,941.30 / $115,037.00
| Facility | | $47,858.90 | $71,941.30 | $115,037.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,895.62 / $95,710.26 / $145,411.70
| Facility | | $51,895.62 | $95,710.26 | $145,411.70 |