- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102,114.00 / $162,870.00 / $286,815.00
| Facility | | $102,114.00 | $162,870.00 | $286,815.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,366.51 / $119,505.37 / $176,378.92
| Facility | | $48,366.51 | $119,505.37 | $176,378.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94,421.31 / $126,640.28 / $212,152.05
| Facility | | $94,421.31 | $126,640.28 | $212,152.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,183.09 / $89,123.10 / $99,999.00
| Facility | | $63,183.09 | $89,123.10 | $99,999.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31,611.47 / $109,998.86 / $162,583.82
| Facility | | $31,611.47 | $109,998.86 | $162,583.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82,152.11 / $117,439.18 / $159,717.29
| Facility | | $82,152.11 | $117,439.18 | $159,717.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $102,015.78 / $278,740.12
| Facility | | $3,775.00 | $102,015.78 | $278,740.12 |