- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,334.50 / $116,670.00 / $136,446.00
| Facility | | $75,334.50 | $116,670.00 | $136,446.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,108.23 / $115,411.92 / $163,961.13
| Facility | | $76,108.23 | $115,411.92 | $163,961.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,184.67 / $95,823.94 / $150,177.57
| Facility | | $40,184.67 | $95,823.94 | $150,177.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,603.00 / $91,789.00 / $133,287.00
| Facility | | $23,603.00 | $91,789.00 | $133,287.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $108,808.23 / $179,377.08
| Facility | | $5,274.00 | $108,808.23 | $179,377.08 |