- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,565.42 / $117,489.76 / $165,958.69
| Facility | | $64,565.42 | $117,489.76 | $165,958.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $131,825.67 / $281,838.29
| Facility | | $28,840.32 | $131,825.67 | $281,838.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125,892.54 / $125,892.54 / $151,356.12
| Facility | | $125,892.54 | $125,892.54 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $114,815.36 / $141,253.75
| Facility | | $12,589.25 | $114,815.36 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204,173.79 / $204,173.79 / $204,173.79
| Facility | | $204,173.79 | $204,173.79 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,565.42 / $109,647.82 / $162,181.01
| Facility | | $64,565.42 | $109,647.82 | $162,181.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $69,183.10 / $117,489.76
| Facility | | $56,234.13 | $69,183.10 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $89,125.09 / $151,356.12
| Facility | | $5,623.41 | $89,125.09 | $151,356.12 |