- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $110,807.00 / $180,967.00
| Facility | | $6,303.00 | $110,807.00 | $180,967.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $146,350.60 / $201,282.31 / $270,077.40
| Facility | | $146,350.60 | $201,282.31 | $270,077.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $119,908.70 / $164,666.50 / $230,835.39
| Facility | | $119,908.70 | $164,666.50 | $230,835.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,391.36 / $182,880.61 / $230,552.67
| Facility | | $104,391.36 | $182,880.61 | $230,552.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,391.36 / $184,402.99 / $241,807.36
| Facility | | $104,391.36 | $184,402.99 | $241,807.36 |