- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,822.00 / $171,931.00 / $224,480.00
| Facility | | $3,822.00 | $171,931.00 | $224,480.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $154,980.10 / $420,436.74
| Facility | | $5,840.42 | $154,980.10 | $420,436.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97,146.59 / $160,633.99 / $242,719.89
| Facility | | $97,146.59 | $160,633.99 | $242,719.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $228,116.80 / $228,116.80 / $228,116.80
| Facility | | $228,116.80 | $228,116.80 | $228,116.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $139,969.23 / $161,824.28 / $249,894.69
| Facility | | $139,969.23 | $161,824.28 | $249,894.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $154,980.10 / $420,436.74
| Facility | | $5,840.42 | $154,980.10 | $420,436.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $157,008.01 / $328,575.03
| Facility | | $5,840.42 | $157,008.01 | $328,575.03 |