- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99,930.90 / $159,388.00 / $280,682.00
| Facility | | $99,930.90 | $159,388.00 | $280,682.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,238.28 / $140,266.94 / $201,129.92
| Facility | | $57,238.28 | $140,266.94 | $201,129.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,402.29 / $123,932.32 / $207,615.60
| Facility | | $92,402.29 | $123,932.32 | $207,615.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,893.34 / $94,637.40 / $99,999.00
| Facility | | $65,893.34 | $94,637.40 | $99,999.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,617.60 / $120,486.78 / $197,154.32
| Facility | | $30,617.60 | $120,486.78 | $197,154.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99,620.27 / $137,434.47 / $187,241.34
| Facility | | $99,620.27 | $137,434.47 | $187,241.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $99,834.37 / $260,071.27
| Facility | | $3,775.00 | $99,834.37 | $260,071.27 |