- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,636.00 / $129,842.00 / $281,402.00
| Facility | | $7,636.00 | $129,842.00 | $281,402.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,097.00 / $32,097.00 / $32,097.00
| Facility | | $32,097.00 | $32,097.00 | $32,097.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,186.00 / $142,437.57 / $252,415.81
| Facility | | $74,186.00 | $142,437.57 | $252,415.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78,829.80 / $144,502.49 / $258,050.70
| Facility | | $78,829.80 | $144,502.49 | $258,050.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,278.00 / $181,666.60 / $245,421.10
| Facility | | $70,278.00 | $181,666.60 | $245,421.10 |