- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59,197.00 / $122,753.00 / $160,272.00
| Facility | | $59,197.00 | $122,753.00 | $160,272.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $112,098.92 / $300,178.98
| Facility | | $5,840.42 | $112,098.92 | $300,178.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,359.69 / $114,687.76 / $173,294.58
| Facility | | $69,359.69 | $114,687.76 | $173,294.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162,868.42 / $162,868.42 / $162,868.42
| Facility | | $162,868.42 | $162,868.42 | $162,868.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99,933.76 / $115,537.59 / $178,417.17
| Facility | | $99,933.76 | $115,537.59 | $178,417.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $112,098.92 / $300,178.98
| Facility | | $5,840.42 | $112,098.92 | $300,178.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $112,098.92 / $234,592.53
| Facility | | $5,840.42 | $112,098.92 | $234,592.53 |