- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $135,486.00 / $135,486.00 / $160,578.00
| Facility | | $135,486.00 | $135,486.00 | $160,578.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $115,971.57 / $198,211.20 / $253,106.69
| Facility | | $115,971.57 | $198,211.20 | $253,106.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,076.00 / $154,282.19 / $260,377.44
| Facility | | $95,076.00 | $154,282.19 | $260,377.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,337.00 / $84,381.85 / $132,864.57
| Facility | | $1,337.00 | $84,381.85 | $132,864.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112,817.40 / $157,156.07 / $184,697.79
| Facility | | $112,817.40 | $157,156.07 | $184,697.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99,525.00 / $166,389.29 / $211,311.16
| Facility | | $99,525.00 | $166,389.29 | $211,311.16 |