- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $170,408.00 / $170,408.00 / $201,967.00
| Facility | | $170,408.00 | $170,408.00 | $201,967.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120,081.67 / $195,379.28 / $292,275.50
| Facility | | $120,081.67 | $195,379.28 | $292,275.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124,689.35 / $169,141.28 / $196,025.98
| Facility | | $124,689.35 | $169,141.28 | $196,025.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124,694.11 / $200,071.99 / $327,489.02
| Facility | | $124,694.11 | $200,071.99 | $327,489.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,351.90 / $111,486.30 / $159,287.12
| Facility | | $1,351.90 | $111,486.30 | $159,287.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141,895.78 / $197,662.63 / $232,303.15
| Facility | | $141,895.78 | $197,662.63 | $232,303.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128,060.90 / $210,836.07 / $265,776.03
| Facility | | $128,060.90 | $210,836.07 | $265,776.03 |