- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,012.10 / $82,740.60 / $145,600.00
| Facility | | $49,012.10 | $82,740.60 | $145,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,321.76 / $58,042.77 / $95,970.47
| Facility | | $39,321.76 | $58,042.77 | $95,970.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,584.21 / $75,002.17 / $102,909.65
| Facility | | $44,584.21 | $75,002.17 | $102,909.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154,290.95 / $154,290.95 / $181,073.53
| Facility | | $154,290.95 | $154,290.95 | $181,073.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $72,107.72 / $102,997.62
| Facility | | $1,787.00 | $72,107.72 | $102,997.62 |