- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108,808.00 / $131,672.00 / $162,164.00
| Facility | | $108,808.00 | $131,672.00 | $162,164.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $106,498.59 / $116,300.67 / $118,315.42
| Facility | | $106,498.59 | $116,300.67 | $118,315.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $150.00 / $150.00
| Facility | | $150.00 | $150.00 | $150.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103,906.58 / $134,331.51 / $210,495.72
| Facility | | $103,906.58 | $134,331.51 | $210,495.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $127,370.46 / $169,748.04 / $224,021.69
| Facility | | $127,370.46 | $169,748.04 | $224,021.69 |