- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,855.10 / $72,866.00 / $111,571.00
| Facility | | $56,855.10 | $72,866.00 | $111,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,140.95 / $72,828.61 / $95,373.60
| Facility | | $46,140.95 | $72,828.61 | $95,373.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,198.60 / $74,970.53 / $104,500.30
| Facility | | $49,198.60 | $74,970.53 | $104,500.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,185.00 / $48,185.00 / $48,185.00
| Facility | | $48,185.00 | $48,185.00 | $48,185.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,636.00 / $74,293.95 / $97,180.65
| Facility | | $8,636.00 | $74,293.95 | $97,180.65 |