- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,821.00 / $27,373.00 / $218,903.00
| Facility | | $3,821.00 | $27,373.00 | $218,903.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,956.60 / $129,932.77 / $217,323.79
| Facility | | $46,956.60 | $129,932.77 | $217,323.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $122,412.47 / $171,346.60 / $300,206.46
| Facility | | $122,412.47 | $171,346.60 | $300,206.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $153,811.87 / $200,167.03 / $292,260.18
| Facility | | $153,811.87 | $200,167.03 | $292,260.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $153,811.87 / $186,081.94 / $292,260.18
| Facility | | $153,811.87 | $186,081.94 | $292,260.18 |