- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,750.10 / $92,427.20 / $162,645.00
| Facility | | $54,750.10 | $92,427.20 | $162,645.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,176.26 / $58,819.78 / $97,537.75
| Facility | | $40,176.26 | $58,819.78 | $97,537.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,375.54 / $83,782.78 / $114,957.42
| Facility | | $48,375.54 | $83,782.78 | $114,957.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $163,192.29 / $163,192.29 / $191,520.02
| Facility | | $163,192.29 | $163,192.29 | $191,520.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $80,549.46 / $115,055.69
| Facility | | $1,787.00 | $80,549.46 | $115,055.69 |