- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,654.10 / $84,192.10 / $110,657.00
| Facility | | $57,654.10 | $84,192.10 | $110,657.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,207.71 / $74,096.86 / $125,324.86
| Facility | | $27,207.71 | $74,096.86 | $125,324.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,683.56 / $84,955.94 / $151,537.42
| Facility | | $60,683.56 | $84,955.94 | $151,537.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,520.96 / $94,377.02 / $137,798.14
| Facility | | $72,520.96 | $94,377.02 | $137,798.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,520.96 / $87,736.02 / $137,798.14
| Facility | | $72,520.96 | $87,736.02 | $137,798.14 |