- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,495.90 / $136,733.00 / $221,720.00
| Facility | | $86,495.90 | $136,733.00 | $221,720.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93,658.83 / $122,648.65 / $280,274.86
| Facility | | $93,658.83 | $122,648.65 | $280,274.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $38,825.16 / $173,625.04
| Facility | | $100.00 | $38,825.16 | $173,625.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $145,507.25 / $211,284.50 / $247,960.30
| Facility | | $145,507.25 | $211,284.50 | $247,960.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,492.13 / $94,778.18 / $107,178.50
| Facility | | $61,492.13 | $94,778.18 | $107,178.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120,657.00 / $120,657.00 / $120,657.00
| Facility | | $120,657.00 | $120,657.00 | $120,657.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $111,115.71 / $227,484.04
| Facility | | $5,693.00 | $111,115.71 | $227,484.04 |