- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,555.30 / $70,555.30 / $83,622.00
| Facility | | $70,555.30 | $70,555.30 | $83,622.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,803.24 / $84,286.64 / $126,087.68
| Facility | | $51,803.24 | $84,286.64 | $126,087.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,705.53 / $71,422.80 / $121,517.62
| Facility | | $57,705.53 | $71,422.80 | $121,517.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,628.14 / $82,837.48 / $135,593.01
| Facility | | $51,628.14 | $82,837.48 | $135,593.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $762.05 / $48,095.21 / $69,189.97
| Facility | | $762.05 | $48,095.21 | $69,189.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,750.30 / $81,839.91 / $96,182.42
| Facility | | $58,750.30 | $81,839.91 | $96,182.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,022.13 / $87,294.22 / $110,041.48
| Facility | | $53,022.13 | $87,294.22 | $110,041.48 |