- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,406.00 / $108,358.00 / $174,471.00
| Facility | | $3,406.00 | $108,358.00 | $174,471.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $64,254.10 / $141,520.46
| Facility | | $1,474.01 | $64,254.10 | $141,520.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,045.78 / $107,313.35 / $160,497.01
| Facility | | $73,045.78 | $107,313.35 | $160,497.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,373.59 / $92,708.78 / $171,317.54
| Facility | | $64,373.59 | $92,708.78 | $171,317.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,373.59 / $95,466.00 / $202,139.39
| Facility | | $64,373.59 | $95,466.00 | $202,139.39 |