- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,235.69 / $77,892.20 / $170,751.00
| Facility | | $40,235.69 | $77,892.20 | $170,751.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,918.44 / $82,396.50 / $134,425.82
| Facility | | $54,918.44 | $82,396.50 | $134,425.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,495.00 / $85,588.59 / $120,686.51
| Facility | | $47,495.00 | $85,588.59 | $120,686.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $176,691.40 / $176,691.40 / $207,362.36
| Facility | | $176,691.40 | $176,691.40 | $207,362.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $79,075.22 / $120,143.16
| Facility | | $2,520.00 | $79,075.22 | $120,143.16 |