- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $134,896.29 / $257,039.58
| Facility | | $75,857.76 | $134,896.29 | $257,039.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $147,910.84 / $245,470.89
| Facility | | $10,232.93 | $147,910.84 | $245,470.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $100.00 / $208,929.61
| Facility | | $100.00 | $100.00 | $208,929.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,432.82 / $120,226.44 / $208,929.61
| Facility | | $79,432.82 | $120,226.44 | $208,929.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $208,929.61 / $208,929.61 / $208,929.61
| Facility | | $208,929.61 | $208,929.61 | $208,929.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,283.05 / $131,825.67 / $234,422.88
| Facility | | $81,283.05 | $131,825.67 | $234,422.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $114,815.36 / $234,422.88
| Facility | | $5,754.40 | $114,815.36 | $234,422.88 |