- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71,524.60 / $117,010.00 / $154,275.00
| Facility | | $71,524.60 | $117,010.00 | $154,275.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,773.45 / $101,753.73 / $144,336.34
| Facility | | $66,773.45 | $101,753.73 | $144,336.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,586.55 / $93,145.55 / $136,730.73
| Facility | | $36,586.55 | $93,145.55 | $136,730.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,603.00 / $101,855.00 / $128,102.00
| Facility | | $23,603.00 | $101,855.00 | $128,102.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $94,939.00 / $163,315.73
| Facility | | $5,274.00 | $94,939.00 | $163,315.73 |