- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108,553.00 / $108,553.00 / $128,657.00
| Facility | | $108,553.00 | $108,553.00 | $128,657.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,917.82 / $158,809.20 / $202,792.13
| Facility | | $92,917.82 | $158,809.20 | $202,792.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,432.82 / $123,612.75 / $208,617.54
| Facility | | $79,432.82 | $123,612.75 | $208,617.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,138.56 / $71,858.02 / $106,452.69
| Facility | | $1,138.56 | $71,858.02 | $106,452.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90,390.66 / $125,915.34 / $147,982.09
| Facility | | $90,390.66 | $125,915.34 | $147,982.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,577.53 / $133,313.10 / $169,305.04
| Facility | | $81,577.53 | $133,313.10 | $169,305.04 |