- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,626.00 / $119,298.00 / $223,588.00
| Facility | | $5,626.00 | $119,298.00 | $223,588.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134,636.10 / $199,790.68 / $259,067.01
| Facility | | $134,636.10 | $199,790.68 | $259,067.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,646.00 / $157,568.29 / $251,935.11
| Facility | | $17,646.00 | $157,568.29 | $251,935.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88,339.72 / $169,746.90 / $355,964.61
| Facility | | $88,339.72 | $169,746.90 | $355,964.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,648.00 / $168,625.94 / $251,997.32
| Facility | | $17,648.00 | $168,625.94 | $251,997.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.00 / $138,623.06 / $216,733.31
| Facility | | $5,281.00 | $138,623.06 | $216,733.31 |