- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,686.39 / $111,985.00 / $147,187.00
| Facility | | $76,686.39 | $111,985.00 | $147,187.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,633.80 / $110,661.16 / $187,168.45
| Facility | | $40,633.80 | $110,661.16 | $187,168.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,902.89 / $112,482.63 / $188,270.52
| Facility | | $77,902.89 | $112,482.63 | $188,270.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96,461.08 / $125,532.11 / $183,287.11
| Facility | | $96,461.08 | $125,532.11 | $183,287.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96,461.08 / $116,698.83 / $183,287.11
| Facility | | $96,461.08 | $116,698.83 | $183,287.11 |