- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $101,462.00 / $165,704.00
| Facility | | $6,303.00 | $101,462.00 | $165,704.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134,007.68 / $184,306.56 / $247,299.62
| Facility | | $134,007.68 | $184,306.56 | $247,299.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109,795.84 / $150,778.85 / $211,367.20
| Facility | | $109,795.84 | $150,778.85 | $211,367.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,587.20 / $167,456.82 / $211,108.31
| Facility | | $95,587.20 | $167,456.82 | $211,108.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,587.20 / $168,850.81 / $221,413.81
| Facility | | $95,587.20 | $168,850.81 | $221,413.81 |