- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,709.80 / $127,433.00 / $196,745.00
| Facility | | $86,709.80 | $127,433.00 | $196,745.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147,341.03 / $209,467.28 / $268,547.78
| Facility | | $147,341.03 | $209,467.28 | $268,547.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,019.52 / $169,790.46 / $226,041.00
| Facility | | $48,019.52 | $169,790.46 | $226,041.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,709.80 / $130,342.00 / $208,422.00
| Facility | | $86,709.80 | $130,342.00 | $208,422.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101,406.10 / $165,593.49 / $260,420.17
| Facility | | $101,406.10 | $165,593.49 | $260,420.17 |