- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66,890.32 / $142,544.00 / $235,912.00
| Facility | | $66,890.32 | $142,544.00 | $235,912.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,847.01 / $140,795.87 / $186,692.80
| Facility | | $92,847.01 | $140,795.87 | $186,692.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,028.24 / $158,521.84 / $220,961.20
| Facility | | $104,028.24 | $158,521.84 | $220,961.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,449.00 / $70,449.00 / $70,449.00
| Facility | | $70,449.00 | $70,449.00 | $70,449.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,845.00 / $159,725.47 / $205,484.14
| Facility | | $10,845.00 | $159,725.47 | $205,484.14 |