- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,809.76 / $69,972.00 / $204,560.00
| Facility | | $22,809.76 | $69,972.00 | $204,560.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,584.00 / $73,999.00 / $217,290.00
| Facility | | $18,584.00 | $73,999.00 | $217,290.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.70 / $46,781.91 / $101,827.71
| Facility | | $89.70 | $46,781.91 | $101,827.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,461.47 / $94,589.74 / $211,632.00
| Facility | | $54,461.47 | $94,589.74 | $211,632.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,381.03 / $100,745.05 / $118,232.87
| Facility | | $69,381.03 | $100,745.05 | $118,232.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,946.42 / $69,092.00 / $205,189.00
| Facility | | $43,946.42 | $69,092.00 | $205,189.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $140,659.00 / $140,659.00 / $140,659.00
| Facility | | $140,659.00 | $140,659.00 | $140,659.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $64,644.15 / $133,970.84
| Facility | | $5,693.00 | $64,644.15 | $133,970.84 |