- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $126,370.00 / $126,370.00 / $149,774.00
| Facility | | $126,370.00 | $126,370.00 | $149,774.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,288.87 / $150,158.91 / $224,628.59
| Facility | | $92,288.87 | $150,158.91 | $224,628.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103,355.35 / $127,924.12 / $217,648.06
| Facility | | $103,355.35 | $127,924.12 | $217,648.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92,470.26 / $148,368.75 / $242,858.26
| Facility | | $92,470.26 | $148,368.75 | $242,858.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,357.61 / $85,682.90 / $122,420.25
| Facility | | $1,357.61 | $85,682.90 | $122,420.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105,226.62 / $146,582.01 / $172,270.62
| Facility | | $105,226.62 | $146,582.01 | $172,270.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94,966.99 / $156,351.14 / $197,093.34
| Facility | | $94,966.99 | $156,351.14 | $197,093.34 |