- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,426.00 / $122,954.00 / $210,999.00
| Facility | | $14,426.00 | $122,954.00 | $210,999.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $129,263.43 / $191,818.00 / $248,728.91
| Facility | | $129,263.43 | $191,818.00 | $248,728.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124,581.55 / $178,146.77 / $261,509.47
| Facility | | $124,581.55 | $178,146.77 | $261,509.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,808.56 / $158,710.32 / $329,449.28
| Facility | | $27,808.56 | $158,710.32 | $329,449.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105,352.62 / $191,726.27 / $262,951.18
| Facility | | $105,352.62 | $191,726.27 | $262,951.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $157,950.03 / $246,604.60
| Facility | | $9,114.00 | $157,950.03 | $246,604.60 |