- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $122,462.00 / $200,002.00
| Facility | | $6,303.00 | $122,462.00 | $200,002.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $157,602.26 / $222,454.33 / $298,485.70
| Facility | | $157,602.26 | $222,454.33 | $298,485.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $132,521.38 / $181,987.06 / $255,115.98
| Facility | | $132,521.38 | $181,987.06 | $255,115.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $115,371.84 / $202,117.04 / $254,803.52
| Facility | | $115,371.84 | $202,117.04 | $254,803.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $115,371.84 / $203,799.55 / $267,242.03
| Facility | | $115,371.84 | $203,799.55 | $267,242.03 |