- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,330.00 / $86,198.60 / $145,538.00
| Facility | | $34,330.00 | $86,198.60 | $145,538.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97,727.49 / $143,120.37 / $185,583.07
| Facility | | $97,727.49 | $143,120.37 | $185,583.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,930.65 / $122,877.49 / $180,377.26
| Facility | | $85,930.65 | $122,877.49 | $180,377.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68,582.44 / $122,096.88 / $239,622.37
| Facility | | $68,582.44 | $122,096.88 | $239,622.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,930.65 / $133,784.13 / $181,371.68
| Facility | | $85,930.65 | $133,784.13 | $181,371.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $110,242.91 / $188,990.68
| Facility | | $9,114.00 | $110,242.91 | $188,990.68 |