- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,821.00 / $27,373.00 / $111,664.00
| Facility | | $3,821.00 | $27,373.00 | $111,664.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,648.76 / $104,177.24 / $174,245.45
| Facility | | $37,648.76 | $104,177.24 | $174,245.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,653.72 / $87,405.23 / $153,137.66
| Facility | | $65,653.72 | $87,405.23 | $153,137.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78,460.63 / $102,106.76 / $149,084.20
| Facility | | $78,460.63 | $102,106.76 | $149,084.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78,460.63 / $97,497.00 / $149,084.20
| Facility | | $78,460.63 | $97,497.00 | $149,084.20 |