- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,821.00 / $67,588.50 / $170,362.00
| Facility | | $3,821.00 | $67,588.50 | $170,362.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,103.76 / $106,494.28 / $180,120.73
| Facility | | $39,103.76 | $106,494.28 | $180,120.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94,714.72 / $136,756.93 / $228,900.21
| Facility | | $94,714.72 | $136,756.93 | $228,900.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117,277.85 / $152,622.54 / $222,841.36
| Facility | | $117,277.85 | $152,622.54 | $222,841.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,765.06 / $130,328.33 / $208,051.38
| Facility | | $77,765.06 | $130,328.33 | $208,051.38 |