- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,725.60 / $86,725.60 / $102,787.00
| Facility | | $86,725.60 | $86,725.60 | $102,787.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,234.11 / $126,876.20 / $162,015.14
| Facility | | $74,234.11 | $126,876.20 | $162,015.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,460.65 / $98,756.97 / $166,669.19
| Facility | | $63,460.65 | $98,756.97 | $166,669.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $876.92 / $55,345.05 / $85,047.42
| Facility | | $876.92 | $55,345.05 | $85,047.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,215.11 / $100,596.56 / $118,226.18
| Facility | | $72,215.11 | $100,596.56 | $118,226.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,174.11 / $106,506.80 / $135,261.56
| Facility | | $65,174.11 | $106,506.80 | $135,261.56 |