- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,251.80 / $94,962.40 / $167,106.00
| Facility | | $56,251.80 | $94,962.40 | $167,106.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,268.38 / $81,604.87 / $134,177.54
| Facility | | $55,268.38 | $81,604.87 | $134,177.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,702.44 / $86,080.87 / $118,110.61
| Facility | | $49,702.44 | $86,080.87 | $118,110.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,036.58 / $180,949.95 / $212,360.13
| Facility | | $86,036.58 | $180,949.95 | $212,360.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $82,758.87 / $118,211.58
| Facility | | $1,787.00 | $82,758.87 | $118,211.58 |