- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,814.00 / $97,339.00 / $180,955.00
| Facility | | $40,814.00 | $97,339.00 | $180,955.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,753.66 / $42,721.21 / $54,865.70
| Facility | | $30,753.66 | $42,721.21 | $54,865.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,147.19 / $96,892.46 / $156,682.16
| Facility | | $61,147.19 | $96,892.46 | $156,682.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,923.95 / $90,585.53 / $166,196.62
| Facility | | $50,923.95 | $90,585.53 | $166,196.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,800.00 / $103,890.15 / $146,104.54
| Facility | | $51,800.00 | $103,890.15 | $146,104.54 |