- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49,259.50 / $120,363.00 / $209,013.00
| Facility | | $49,259.50 | $120,363.00 | $209,013.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $129,238.09 / $191,493.47 / $248,308.09
| Facility | | $129,238.09 | $191,493.47 | $248,308.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $119,461.21 / $170,824.89 / $250,761.36
| Facility | | $119,461.21 | $170,824.89 | $250,761.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,885.81 / $162,222.15 / $333,124.21
| Facility | | $87,885.81 | $162,222.15 | $333,124.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $119,461.21 / $185,987.36 / $252,143.81
| Facility | | $119,461.21 | $185,987.36 | $252,143.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $157,297.57 / $236,469.08
| Facility | | $9,114.00 | $157,297.57 | $236,469.08 |