- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105,947.00 / $128,210.00 / $157,901.00
| Facility | | $105,947.00 | $128,210.00 | $157,901.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103,698.47 / $113,242.83 / $115,204.60
| Facility | | $103,698.47 | $113,242.83 | $115,204.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $150.00 / $150.00
| Facility | | $150.00 | $150.00 | $150.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101,174.62 / $130,799.60 / $204,961.26
| Facility | | $101,174.62 | $130,799.60 | $204,961.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124,021.56 / $165,284.94 / $218,131.59
| Facility | | $124,021.56 | $165,284.94 | $218,131.59 |