- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,169.75 / $113,283.00 / $142,493.00
| Facility | | $74,169.75 | $113,283.00 | $142,493.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82,710.44 / $111,872.04 / $171,827.60
| Facility | | $82,710.44 | $111,872.04 | $171,827.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,535.38 / $127,294.10 / $177,433.33
| Facility | | $83,535.38 | $127,294.10 | $177,433.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,030.00 / $67,030.00 / $67,030.00
| Facility | | $67,030.00 | $67,030.00 | $67,030.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,845.00 / $124,648.59 / $157,510.44
| Facility | | $10,845.00 | $124,648.59 | $157,510.44 |