- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107,290.00 / $107,290.00 / $127,160.00
| Facility | | $107,290.00 | $107,290.00 | $127,160.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,383.78 / $140,551.01 / $210,255.77
| Facility | | $86,383.78 | $140,551.01 | $210,255.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78,505.50 / $106,492.82 / $123,419.66
| Facility | | $78,505.50 | $106,492.82 | $123,419.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78,508.50 / $125,967.07 / $206,189.94
| Facility | | $78,508.50 | $125,967.07 | $206,189.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $972.52 / $80,200.49 / $114,587.22
| Facility | | $972.52 | $80,200.49 | $114,587.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89,338.82 / $124,450.11 / $146,260.07
| Facility | | $89,338.82 | $124,450.11 | $146,260.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80,628.25 / $132,744.23 / $167,334.91
| Facility | | $80,628.25 | $132,744.23 | $167,334.91 |