- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,624.71 / $138,038.43 / $204,173.79
| Facility | | $77,624.71 | $138,038.43 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $173,780.08 / $234,422.88
| Facility | | $28,840.32 | $173,780.08 | $234,422.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $125,892.54 / $177,827.94
| Facility | | $63,095.73 | $125,892.54 | $177,827.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147,910.84 / $147,910.84 / $181,970.09
| Facility | | $147,910.84 | $147,910.84 | $181,970.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,659.50 / $134,896.29 / $169,824.37
| Facility | | $61,659.50 | $134,896.29 | $169,824.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $186,208.71 / $204,173.79
| Facility | | $51,286.14 | $186,208.71 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $131,825.67 / $199,526.23
| Facility | | $75,857.76 | $131,825.67 | $199,526.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $67,608.30 / $120,226.44
| Facility | | $58,884.37 | $67,608.30 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $100,000.00 / $177,827.94
| Facility | | $5,370.32 | $100,000.00 | $177,827.94 |