- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,057.60 / $78,834.00 / $127,972.00
| Facility | | $54,057.60 | $78,834.00 | $127,972.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,378.79 / $131,330.24 / $168,372.10
| Facility | | $92,378.79 | $131,330.24 | $168,372.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,809.47 / $110,439.68 / $147,027.66
| Facility | | $52,809.47 | $110,439.68 | $147,027.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,400.10 / $84,780.30 / $135,567.00
| Facility | | $56,400.10 | $84,780.30 | $135,567.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,959.28 / $112,791.18 / $171,362.59
| Facility | | $65,959.28 | $112,791.18 | $171,362.59 |