- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,096.36 / $131,825.67 / $218,776.16
| Facility | | $87,096.36 | $131,825.67 | $218,776.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $104,712.85 / $173,780.08
| Facility | | $75,857.76 | $104,712.85 | $173,780.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,176.38 / $97,723.72 / $100,000.00
| Facility | | $83,176.38 | $97,723.72 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,283.05 / $117,489.76 / $173,780.08
| Facility | | $81,283.05 | $117,489.76 | $173,780.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,201.08 / $120,226.44 / $165,958.69
| Facility | | $91,201.08 | $120,226.44 | $165,958.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $117,489.76 / $165,958.69
| Facility | | $40,738.03 | $117,489.76 | $165,958.69 |