- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,910.40 / $88,947.40 / $128,755.00
| Facility | | $60,910.40 | $88,947.40 | $128,755.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,483.53 / $78,202.94 / $131,201.56
| Facility | | $28,483.53 | $78,202.94 | $131,201.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,876.66 / $89,342.63 / $160,096.46
| Facility | | $61,876.66 | $89,342.63 | $160,096.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,617.03 / $99,707.56 / $145,581.17
| Facility | | $76,617.03 | $99,707.56 | $145,581.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,617.03 / $92,691.47 / $145,581.17
| Facility | | $76,617.03 | $92,691.47 | $145,581.17 |