- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107,340.00 / $171,205.00 / $301,493.00
| Facility | | $107,340.00 | $171,205.00 | $301,493.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,563.35 / $146,109.67 / $212,401.59
| Facility | | $53,563.35 | $146,109.67 | $212,401.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99,253.45 / $133,121.26 / $223,009.23
| Facility | | $99,253.45 | $133,121.26 | $223,009.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,692.03 / $97,799.02 / $99,999.00
| Facility | | $67,692.03 | $97,799.02 | $99,999.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,480.62 / $129,592.64 / $198,778.25
| Facility | | $34,480.62 | $129,592.64 | $198,778.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100,440.82 / $140,690.98 / $191,277.05
| Facility | | $100,440.82 | $140,690.98 | $191,277.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $107,236.58 / $279,354.21
| Facility | | $3,775.00 | $107,236.58 | $279,354.21 |