- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,687.80 / $106,146.00 / $139,512.00
| Facility | | $72,687.80 | $106,146.00 | $139,512.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,252.59 / $46,985.33 / $79,469.35
| Facility | | $17,252.59 | $46,985.33 | $79,469.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,507.25 / $107,108.84 / $191,051.93
| Facility | | $76,507.25 | $107,108.84 | $191,051.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,431.34 / $118,986.53 / $173,730.03
| Facility | | $91,431.34 | $118,986.53 | $173,730.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,431.34 / $110,613.84 / $173,730.03
| Facility | | $91,431.34 | $110,613.84 | $173,730.03 |