- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,459.70 / $136,676.00 / $221,627.00
| Facility | | $86,459.70 | $136,676.00 | $221,627.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78,457.03 / $102,741.51 / $234,783.37
| Facility | | $78,457.03 | $102,741.51 | $234,783.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $84,399.80 / $162,698.00
| Facility | | $100.00 | $84,399.80 | $162,698.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,378.11 / $140,204.76 / $253,841.85
| Facility | | $85,378.11 | $140,204.76 | $253,841.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $121,889.92 / $176,990.85 / $207,713.79
| Facility | | $121,889.92 | $176,990.85 | $207,713.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,106.53 / $120,479.84 / $253,841.85
| Facility | | $77,106.53 | $120,479.84 | $253,841.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,760.00 / $95,712.51 / $218,989.70
| Facility | | $5,760.00 | $95,712.51 | $218,989.70 |