- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $180,725.00 / $180,725.00 / $214,195.00
| Facility | | $180,725.00 | $180,725.00 | $214,195.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $142,770.31 / $232,294.91 / $347,499.04
| Facility | | $142,770.31 | $232,294.91 | $347,499.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $132,238.84 / $179,382.18 / $207,894.65
| Facility | | $132,238.84 | $179,382.18 | $207,894.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $132,243.89 / $212,185.64 / $347,317.31
| Facility | | $132,243.89 | $212,185.64 | $347,317.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,607.33 / $132,550.91 / $189,383.37
| Facility | | $1,607.33 | $132,550.91 | $189,383.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150,487.06 / $209,630.39 / $246,368.27
| Facility | | $150,487.06 | $209,630.39 | $246,368.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $135,814.53 / $223,601.44 / $281,867.83
| Facility | | $135,814.53 | $223,601.44 | $281,867.83 |