- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $126,769.00 / $126,769.00 / $150,246.00
| Facility | | $126,769.00 | $126,769.00 | $150,246.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,340.08 / $150,242.24 / $224,753.24
| Facility | | $92,340.08 | $150,242.24 | $224,753.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103,681.28 / $128,327.52 / $218,334.41
| Facility | | $103,681.28 | $128,327.52 | $218,334.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,761.86 / $148,836.63 / $243,624.11
| Facility | | $92,761.86 | $148,836.63 | $243,624.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,358.37 / $85,730.45 / $124,315.74
| Facility | | $1,358.37 | $85,730.45 | $124,315.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105,558.45 / $147,044.26 / $172,813.88
| Facility | | $105,558.45 | $147,044.26 | $172,813.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,266.47 / $156,844.19 / $197,714.87
| Facility | | $95,266.47 | $156,844.19 | $197,714.87 |