- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,155.70 / $86,359.30 / $151,967.00
| Facility | | $51,155.70 | $86,359.30 | $151,967.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,939.78 / $66,335.52 / $108,936.84
| Facility | | $44,939.78 | $66,335.52 | $108,936.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,534.12 / $78,282.42 / $107,410.45
| Facility | | $46,534.12 | $78,282.42 | $107,410.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $167,593.95 / $167,593.95 / $196,685.73
| Facility | | $167,593.95 | $167,593.95 | $196,685.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $75,261.38 / $107,502.27
| Facility | | $1,787.00 | $75,261.38 | $107,502.27 |