- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98,520.00 / $98,520.00 / $116,766.00
| Facility | | $98,520.00 | $98,520.00 | $116,766.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,105.89 / $109,184.88 / $163,333.93
| Facility | | $67,105.89 | $109,184.88 | $163,333.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80,577.17 / $99,731.31 / $169,681.26
| Facility | | $80,577.17 | $99,731.31 | $169,681.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,091.02 / $115,670.21 / $189,335.46
| Facility | | $72,091.02 | $115,670.21 | $189,335.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $987.16 / $62,302.51 / $96,613.50
| Facility | | $987.16 | $62,302.51 | $96,613.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82,036.03 / $114,277.25 / $134,304.42
| Facility | | $82,036.03 | $114,277.25 | $134,304.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,037.50 / $121,893.38 / $153,656.54
| Facility | | $74,037.50 | $121,893.38 | $153,656.54 |