- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,335.20 / $80,805.89 / $106,207.00
| Facility | | $55,335.20 | $80,805.89 | $106,207.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,936.62 / $76,081.94 / $128,682.36
| Facility | | $27,936.62 | $76,081.94 | $128,682.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,242.86 / $81,539.00 / $145,442.56
| Facility | | $58,242.86 | $81,539.00 | $145,442.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,604.14 / $90,581.16 / $132,255.87
| Facility | | $69,604.14 | $90,581.16 | $132,255.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,604.14 / $84,207.26 / $132,255.87
| Facility | | $69,604.14 | $84,207.26 | $132,255.87 |