- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,973.80 / $163,763.00 / $197,740.00
| Facility | | $85,973.80 | $163,763.00 | $197,740.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,397.00 / $147,874.85 / $244,834.27
| Facility | | $12,397.00 | $147,874.85 | $244,834.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $110,877.81 / $131,495.20 / $149,260.60
| Facility | | $110,877.81 | $131,495.20 | $149,260.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65,384.93 / $97,336.74 / $99,999.00
| Facility | | $65,384.93 | $97,336.74 | $99,999.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,756.82 / $145,319.64 / $229,632.45
| Facility | | $67,756.82 | $145,319.64 | $229,632.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,846.33 / $130,371.58 / $171,407.45
| Facility | | $92,846.33 | $130,371.58 | $171,407.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $144,484.04 / $207,884.53
| Facility | | $3,775.00 | $144,484.04 | $207,884.53 |