- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,850.30 / $145,197.00 / $235,445.00
| Facility | | $91,850.30 | $145,197.00 | $235,445.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,681.95 / $114,821.78 / $262,389.02
| Facility | | $87,681.95 | $114,821.78 | $262,389.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $94,227.37 / $190,576.13
| Facility | | $100.00 | $94,227.37 | $190,576.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102,975.33 / $155,377.38 / $269,668.26
| Facility | | $102,975.33 | $155,377.38 | $269,668.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $136,221.65 / $197,801.30 / $232,136.62
| Facility | | $136,221.65 | $197,801.30 | $232,136.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84,884.45 / $127,991.46 / $269,668.26
| Facility | | $84,884.45 | $127,991.46 | $269,668.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $117,994.15 / $241,566.07
| Facility | | $5,693.00 | $117,994.15 | $241,566.07 |