- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88,991.60 / $141,940.00 / $249,956.00
| Facility | | $88,991.60 | $141,940.00 | $249,956.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,870.39 / $118,920.09 / $172,875.72
| Facility | | $45,870.39 | $118,920.09 | $172,875.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82,287.11 / $110,365.58 / $184,888.13
| Facility | | $82,287.11 | $110,365.58 | $184,888.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,990.26 / $92,682.15 / $99,999.00
| Facility | | $62,990.26 | $92,682.15 | $99,999.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,053.09 / $106,272.86 / $161,787.54
| Facility | | $30,053.09 | $106,272.86 | $161,787.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,749.75 / $114,509.76 / $155,682.25
| Facility | | $81,749.75 | $114,509.76 | $155,682.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $88,905.60 / $242,918.88
| Facility | | $3,775.00 | $88,905.60 | $242,918.88 |