- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110,435.00 / $148,758.00 / $322,686.00
| Facility | | $110,435.00 | $148,758.00 | $322,686.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,280.10 / $26,280.10 / $26,280.10
| Facility | | $26,280.10 | $26,280.10 | $26,280.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101,153.16 / $162,070.09 / $260,126.63
| Facility | | $101,153.16 | $162,070.09 | $260,126.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96,124.88 / $177,362.57 / $325,943.19
| Facility | | $96,124.88 | $177,362.57 | $325,943.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $121,535.14 / $187,639.67 / $249,791.26
| Facility | | $121,535.14 | $187,639.67 | $249,791.26 |