- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,833.60 / $87,699.00 / $148,040.00
| Facility | | $49,833.60 | $87,699.00 | $148,040.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,323.11 / $101,779.43 / $168,265.82
| Facility | | $68,323.11 | $101,779.43 | $168,265.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,331.49 / $76,259.28 / $98,742.97
| Facility | | $45,331.49 | $76,259.28 | $98,742.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,316.44 / $152,094.10 / $178,495.34
| Facility | | $72,316.44 | $152,094.10 | $178,495.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $73,316.31 / $104,723.96
| Facility | | $1,787.00 | $73,316.31 | $104,723.96 |