- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,085.00 / $85,750.80 / $147,430.00
| Facility | | $37,085.00 | $85,750.80 | $147,430.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94,799.49 / $144,659.76 / $187,579.19
| Facility | | $94,799.49 | $144,659.76 | $187,579.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,484.27 / $122,239.18 / $179,440.26
| Facility | | $85,484.27 | $122,239.18 | $179,440.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62,904.25 / $120,872.03 / $253,472.47
| Facility | | $62,904.25 | $120,872.03 | $253,472.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,484.27 / $133,089.17 / $180,429.52
| Facility | | $85,484.27 | $133,089.17 | $180,429.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $109,670.24 / $167,401.78
| Facility | | $9,114.00 | $109,670.24 | $167,401.78 |