- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107,863.00 / $107,863.00 / $127,839.00
| Facility | | $107,863.00 | $107,863.00 | $127,839.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,674.94 / $118,416.89 / $166,985.85
| Facility | | $73,674.94 | $118,416.89 | $166,985.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88,218.69 / $109,189.29 / $185,772.93
| Facility | | $88,218.69 | $109,189.29 | $185,772.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78,927.75 / $126,639.76 / $207,291.03
| Facility | | $78,927.75 | $126,639.76 | $207,291.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,070.63 / $67,570.42 / $105,775.81
| Facility | | $1,070.63 | $67,570.42 | $105,775.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89,815.90 / $125,114.70 / $147,041.14
| Facility | | $89,815.90 | $125,114.70 | $147,041.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,058.83 / $133,453.10 / $168,228.51
| Facility | | $81,058.83 | $133,453.10 | $168,228.51 |