- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147,114.00 / $147,114.00 / $174,359.00
| Facility | | $147,114.00 | $147,114.00 | $174,359.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105,168.03 / $171,114.00 / $255,976.12
| Facility | | $105,168.03 | $171,114.00 | $255,976.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120,320.91 / $148,922.59 / $253,374.52
| Facility | | $120,320.91 | $148,922.59 | $253,374.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107,649.05 / $172,723.16 / $282,722.92
| Facility | | $107,649.05 | $172,723.16 | $282,722.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,547.07 / $97,640.18 / $144,266.95
| Facility | | $1,547.07 | $97,640.18 | $144,266.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $122,499.34 / $170,643.14 / $200,548.48
| Facility | | $122,499.34 | $170,643.14 | $200,548.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110,555.62 / $182,015.84 / $229,445.79
| Facility | | $110,555.62 | $182,015.84 | $229,445.79 |