- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,210.60 / $140,473.00 / $247,192.00
| Facility | | $83,210.60 | $140,473.00 | $247,192.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,941.99 / $154,904.65 / $254,385.91
| Facility | | $104,941.99 | $154,904.65 | $254,385.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,693.11 / $129,108.01 / $174,715.48
| Facility | | $75,693.11 | $129,108.01 | $174,715.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $280,762.20 / $280,762.20 / $329,498.28
| Facility | | $280,762.20 | $280,762.20 | $329,498.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $122,421.32 / $174,864.83
| Facility | | $1,787.00 | $122,421.32 | $174,864.83 |