- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,767.50 / $111,940.00 / $135,165.00
| Facility | | $58,767.50 | $111,940.00 | $135,165.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,702.57 / $90,663.30 / $102,048.84
| Facility | | $76,702.57 | $90,663.30 | $102,048.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,079.33 / $76,851.89 / $81,378.74
| Facility | | $56,079.33 | $76,851.89 | $81,378.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,186.58 / $97,713.14 / $150,082.79
| Facility | | $47,186.58 | $97,713.14 | $150,082.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,454.56 / $86,981.65 / $116,492.23
| Facility | | $75,454.56 | $86,981.65 | $116,492.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $98,762.31 / $142,099.82
| Facility | | $3,775.00 | $98,762.31 | $142,099.82 |