- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,544.90 / $120,986.00 / $193,426.00
| Facility | | $49,544.90 | $120,986.00 | $193,426.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $115,142.75 / $170,863.89 / $221,557.88
| Facility | | $115,142.75 | $170,863.89 | $221,557.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103,031.40 / $161,311.82 / $239,728.86
| Facility | | $103,031.40 | $161,311.82 | $239,728.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,148.91 / $158,892.12 / $318,468.08
| Facility | | $91,148.91 | $158,892.12 | $318,468.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108,317.00 / $177,804.66 / $241,050.50
| Facility | | $108,317.00 | $177,804.66 | $241,050.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $146,517.41 / $226,065.39
| Facility | | $9,114.00 | $146,517.41 | $226,065.39 |