- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $114,815.36 / $190,546.07
| Facility | | $75,857.76 | $114,815.36 | $190,546.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,069.34 / $91,201.08 / $151,356.12
| Facility | | $66,069.34 | $91,201.08 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $75,857.76 / $87,096.36
| Facility | | $63,095.73 | $75,857.76 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $100,000.00 / $147,910.84
| Facility | | $63,095.73 | $100,000.00 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,608.30 / $93,325.43 / $125,892.54
| Facility | | $67,608.30 | $93,325.43 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $102,329.30 / $144,543.98
| Facility | | $35,481.34 | $102,329.30 | $144,543.98 |