- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,433.10 / $99,862.00 / $175,908.00
| Facility | | $42,433.10 | $99,862.00 | $175,908.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103,873.58 / $152,121.22 / $197,254.40
| Facility | | $103,873.58 | $152,121.22 | $197,254.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,411.00 / $137,414.99 / $194,428.56
| Facility | | $91,411.00 | $137,414.99 | $194,428.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,924.98 / $131,040.00 / $258,288.84
| Facility | | $73,924.98 | $131,040.00 | $258,288.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,170.08 / $48,170.08 / $48,170.08
| Facility | | $48,170.08 | $48,170.08 | $48,170.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,624.60 / $146,470.68 / $195,500.45
| Facility | | $92,624.60 | $146,470.68 | $195,500.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $118,830.78 / $188,866.00
| Facility | | $9,114.00 | $118,830.78 | $188,866.00 |