- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,605.30 / $77,311.30 / $119,362.00
| Facility | | $52,605.30 | $77,311.30 | $119,362.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,903.67 / $123,546.55 / $158,393.01
| Facility | | $86,903.67 | $123,546.55 | $158,393.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,256.65 / $111,758.58 / $144,076.29
| Facility | | $49,256.65 | $111,758.58 | $144,076.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,605.30 / $79,076.00 / $126,446.00
| Facility | | $52,605.30 | $79,076.00 | $126,446.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,521.29 / $105,202.16 / $159,832.67
| Facility | | $61,521.29 | $105,202.16 | $159,832.67 |