- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,134.42 / $120,262.00 / $199,663.00
| Facility | | $92,134.42 | $120,262.00 | $199,663.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,588.39 / $113,384.16 / $245,777.50
| Facility | | $74,588.39 | $113,384.16 | $245,777.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $148,393.87 / $148,393.87 / $148,393.87
| Facility | | $148,393.87 | $148,393.87 | $148,393.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,976.42 / $122,952.71 / $170,597.53
| Facility | | $61,976.42 | $122,952.71 | $170,597.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,976.42 / $122,952.71 / $172,803.98
| Facility | | $61,976.42 | $122,952.71 | $172,803.98 |