- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,131.02 / $131,825.67 / $251,188.64
| Facility | | $74,131.02 | $131,825.67 | $251,188.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $141,253.75 / $239,883.29
| Facility | | $10,232.93 | $141,253.75 | $239,883.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $102,329.30 / $239,883.29
| Facility | | $100.00 | $102,329.30 | $239,883.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,443.60 / $114,815.36 / $199,526.23
| Facility | | $72,443.60 | $114,815.36 | $199,526.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204,173.79 / $204,173.79 / $204,173.79
| Facility | | $204,173.79 | $204,173.79 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,443.60 / $117,489.76 / $213,796.21
| Facility | | $72,443.60 | $117,489.76 | $213,796.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $104,712.85 / $223,872.11
| Facility | | $5,754.40 | $104,712.85 | $223,872.11 |