- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,319.70 / $120,986.00 / $220,523.00
| Facility | | $52,319.70 | $120,986.00 | $220,523.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125,173.47 / $185,470.88 / $240,498.65
| Facility | | $125,173.47 | $185,470.88 | $240,498.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112,932.00 / $169,767.17 / $239,728.86
| Facility | | $112,932.00 | $169,767.17 | $239,728.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,148.91 / $161,693.20 / $318,468.08
| Facility | | $91,148.91 | $161,693.20 | $318,468.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114,205.40 / $180,597.19 / $241,050.50
| Facility | | $114,205.40 | $180,597.19 | $241,050.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $146,517.41 / $223,645.68
| Facility | | $9,114.00 | $146,517.41 | $223,645.68 |