- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $118,331.00 / $118,331.00 / $140,246.00
| Facility | | $118,331.00 | $118,331.00 | $140,246.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,841.80 / $142,923.29 / $213,804.55
| Facility | | $87,841.80 | $142,923.29 | $213,804.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96,780.18 / $119,785.96 / $203,801.92
| Facility | | $96,780.18 | $119,785.96 | $203,801.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,587.57 / $138,929.96 / $227,408.32
| Facility | | $86,587.57 | $138,929.96 | $227,408.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,292.19 / $81,554.14 / $116,521.27
| Facility | | $1,292.19 | $81,554.14 | $116,521.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98,532.41 / $137,256.89 / $161,311.26
| Facility | | $98,532.41 | $137,256.89 | $161,311.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88,925.47 / $146,404.53 / $184,554.84
| Facility | | $88,925.47 | $146,404.53 | $184,554.84 |