- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $149,733.00 / $149,733.00 / $177,464.00
| Facility | | $149,733.00 | $149,733.00 | $177,464.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $115,451.53 / $187,845.80 / $281,005.88
| Facility | | $115,451.53 | $187,845.80 | $281,005.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $122,463.43 / $151,574.42 / $257,886.30
| Facility | | $122,463.43 | $151,574.42 | $257,886.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109,565.93 / $175,798.80 / $287,757.30
| Facility | | $109,565.93 | $175,798.80 | $287,757.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.35 / $106,848.56 / $153,145.29
| Facility | | $1,698.35 | $106,848.56 | $153,145.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124,680.66 / $173,681.74 / $204,119.60
| Facility | | $124,680.66 | $173,681.74 | $204,119.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112,524.26 / $185,256.95 / $233,531.48
| Facility | | $112,524.26 | $185,256.95 | $233,531.48 |