- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $97,723.72 / $263,026.80
| Facility | | $28,840.32 | $97,723.72 | $263,026.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $213,796.21 / $269,153.48
| Facility | | $35,481.34 | $213,796.21 | $269,153.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $93,325.43 / $288,403.15
| Facility | | $100.00 | $93,325.43 | $288,403.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $102,329.30 / $251,188.64
| Facility | | $37,153.52 | $102,329.30 | $251,188.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213,796.21 / $213,796.21 / $213,796.21
| Facility | | $213,796.21 | $213,796.21 | $213,796.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $112,201.85 / $301,995.17
| Facility | | $36,307.81 | $112,201.85 | $301,995.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162,181.01 / $162,181.01 / $162,181.01
| Facility | | $162,181.01 | $162,181.01 | $162,181.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $72,443.60 / $251,188.64
| Facility | | $7,585.78 | $72,443.60 | $251,188.64 |