- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,700.60 / $70,103.10 / $108,233.00
| Facility | | $47,700.60 | $70,103.10 | $108,233.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,002.86 / $147,855.59 / $189,558.45
| Facility | | $104,002.86 | $147,855.59 | $189,558.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,019.52 / $93,404.73 / $124,349.15
| Facility | | $48,019.52 | $93,404.73 | $124,349.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,700.60 / $71,703.30 / $114,657.00
| Facility | | $47,700.60 | $71,703.30 | $114,657.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55,785.29 / $95,393.53 / $144,930.50
| Facility | | $55,785.29 | $95,393.53 | $144,930.50 |