- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,378.80 / $79,409.20 / $104,371.00
| Facility | | $54,378.80 | $79,409.20 | $104,371.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,598.75 / $47,928.05 / $81,063.84
| Facility | | $17,598.75 | $47,928.05 | $81,063.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,236.21 / $80,129.72 / $142,928.79
| Facility | | $57,236.21 | $80,129.72 | $142,928.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,401.14 / $89,015.59 / $129,970.02
| Facility | | $68,401.14 | $89,015.59 | $129,970.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,401.14 / $82,751.86 / $129,970.02
| Facility | | $68,401.14 | $82,751.86 | $129,970.02 |