- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,130.60 / $62,490.80 / $122,186.00
| Facility | | $41,130.60 | $62,490.80 | $122,186.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,152.03 / $90,266.39 / $148,236.34
| Facility | | $61,152.03 | $90,266.39 | $148,236.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,344.51 / $61,245.63 / $86,361.07
| Facility | | $33,344.51 | $61,245.63 | $86,361.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,464.94 / $133,477.85 / $156,647.59
| Facility | | $63,464.94 | $133,477.85 | $156,647.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $60,512.30 / $86,434.90
| Facility | | $1,787.00 | $60,512.30 | $86,434.90 |