- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84,543.60 / $84,543.60 / $100,201.00
| Facility | | $84,543.60 | $84,543.60 | $100,201.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,366.38 / $123,684.00 / $157,938.85
| Facility | | $72,366.38 | $123,684.00 | $157,938.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,863.98 / $96,272.25 / $162,475.79
| Facility | | $61,863.98 | $96,272.25 | $162,475.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $882.31 / $55,684.98 / $82,907.63
| Facility | | $882.31 | $55,684.98 | $82,907.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,398.17 / $98,065.56 / $115,251.62
| Facility | | $70,398.17 | $98,065.56 | $115,251.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,534.33 / $103,827.10 / $131,858.39
| Facility | | $63,534.33 | $103,827.10 | $131,858.39 |