- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,274.50 / $96,944.70 / $132,386.00
| Facility | | $54,274.50 | $96,944.70 | $132,386.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $110,372.01 / $164,219.00
| Facility | | $8,639.91 | $110,372.01 | $164,219.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97,709.60 / $97,709.60 / $118,647.37
| Facility | | $97,709.60 | $97,709.60 | $118,647.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94,246.30 / $227,974.40 / $370,000.00
| Facility | | $94,246.30 | $227,974.40 | $370,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,474.00 / $94,875.20 / $132,386.00
| Facility | | $53,474.00 | $94,875.20 | $132,386.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $45,937.12 / $67,081.44
| Facility | | $2,621.40 | $45,937.12 | $67,081.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,579.03 / $81,646.03 / $135,576.66
| Facility | | $27,579.03 | $81,646.03 | $135,576.66 |