- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $131,963.00 / $215,517.00
| Facility | | $6,303.00 | $131,963.00 | $215,517.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $169,828.40 / $239,711.44 / $321,641.01
| Facility | | $169,828.40 | $239,711.44 | $321,641.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $142,801.85 / $196,104.88 / $274,906.84
| Facility | | $142,801.85 | $196,104.88 | $274,906.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124,321.92 / $217,796.46 / $274,570.14
| Facility | | $124,321.92 | $217,796.46 | $274,570.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124,321.92 / $219,609.49 / $287,973.59
| Facility | | $124,321.92 | $219,609.49 | $287,973.59 |