- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $115,756.00 / $195,416.00 / $343,875.00
| Facility | | $115,756.00 | $195,416.00 | $343,875.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97,677.37 / $139,952.26 / $233,436.56
| Facility | | $97,677.37 | $139,952.26 | $233,436.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102,278.74 / $177,139.04 / $243,050.52
| Facility | | $102,278.74 | $177,139.04 | $243,050.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $178,038.00 / $374,445.00 / $439,443.00
| Facility | | $178,038.00 | $374,445.00 | $439,443.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,158.00 / $174,168.00 / $284,854.03
| Facility | | $3,158.00 | $174,168.00 | $284,854.03 |