- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80,276.89 / $124,324.00 / $145,398.00
| Facility | | $80,276.89 | $124,324.00 | $145,398.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,443.00 / $112,886.76 / $160,373.74
| Facility | | $74,443.00 | $112,886.76 | $160,373.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,821.02 / $102,110.56 / $160,030.10
| Facility | | $42,821.02 | $102,110.56 | $160,030.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,603.00 / $93,762.00 / $144,781.00
| Facility | | $23,603.00 | $93,762.00 | $144,781.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $143,618.97 / $191,145.28
| Facility | | $5,274.00 | $143,618.97 | $191,145.28 |