- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,654.30 / $79,020.39 / $138,256.00
| Facility | | $59,654.30 | $79,020.39 | $138,256.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,875.67 / $30,875.67 / $30,875.67
| Facility | | $30,875.67 | $30,875.67 | $30,875.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $70,523.78 / $138,070.32
| Facility | | $5,939.30 | $70,523.78 | $138,070.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,239.00 / $75,813.47 / $123,438.15
| Facility | | $21,239.00 | $75,813.47 | $123,438.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $81,434.27 / $139,881.60
| Facility | | $3,496.00 | $81,434.27 | $139,881.60 |