- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,709.00 / $126,912.00 / $165,277.00
| Facility | | $52,709.00 | $126,912.00 | $165,277.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94,450.08 / $143,929.19 / $204,161.67
| Facility | | $94,450.08 | $143,929.19 | $204,161.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,326.50 / $120,008.06 / $188,079.50
| Facility | | $50,326.50 | $120,008.06 | $188,079.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,766.00 / $126,799.00 / $165,409.00
| Facility | | $87,766.00 | $126,799.00 | $165,409.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $106,153.72 / $224,648.41
| Facility | | $5,274.00 | $106,153.72 | $224,648.41 |