- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,745.39 / $102,202.00 / $156,490.00
| Facility | | $79,745.39 | $102,202.00 | $156,490.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,864.28 / $103,507.31 / $136,830.40
| Facility | | $65,864.28 | $103,507.31 | $136,830.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,006.30 / $105,154.20 / $146,572.85
| Facility | | $69,006.30 | $105,154.20 | $146,572.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,667.00 / $57,667.00 / $57,667.00
| Facility | | $57,667.00 | $57,667.00 | $57,667.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,845.00 / $105,952.62 / $136,306.26
| Facility | | $10,845.00 | $105,952.62 | $136,306.26 |