- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $85,990.80 / $189,444.00
| Facility | | $3,182.00 | $85,990.80 | $189,444.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $64,104.81 / $164,688.07
| Facility | | $1,474.01 | $64,104.81 | $164,688.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,314.53 / $116,522.93 / $174,270.80
| Facility | | $79,314.53 | $116,522.93 | $174,270.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,447.11 / $103,179.19 / $216,689.02
| Facility | | $74,447.11 | $103,179.19 | $216,689.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,898.11 / $103,179.19 / $219,486.90
| Facility | | $69,898.11 | $103,179.19 | $219,486.90 |