- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $115,466.00 / $115,466.00 / $136,850.00
| Facility | | $115,466.00 | $115,466.00 | $136,850.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84,315.53 / $137,185.87 / $205,221.71
| Facility | | $84,315.53 | $137,185.87 | $205,221.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94,437.18 / $116,885.99 / $198,867.97
| Facility | | $94,437.18 | $116,885.99 | $198,867.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84,491.32 / $135,566.53 / $221,902.87
| Facility | | $84,491.32 | $135,566.53 | $221,902.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,240.32 / $78,280.28 / $113,231.89
| Facility | | $1,240.32 | $78,280.28 | $113,231.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96,146.98 / $133,933.97 / $157,405.99
| Facility | | $96,146.98 | $133,933.97 | $157,405.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,772.62 / $142,860.15 / $180,086.85
| Facility | | $86,772.62 | $142,860.15 | $180,086.85 |