- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114,588.00 / $114,588.00 / $135,809.00
| Facility | | $114,588.00 | $114,588.00 | $135,809.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,337.38 / $132,340.26 / $197,972.97
| Facility | | $81,337.38 | $132,340.26 | $197,972.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93,718.90 / $115,996.98 / $197,355.41
| Facility | | $93,718.90 | $115,996.98 | $197,355.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,848.69 / $134,535.43 / $220,215.11
| Facility | | $83,848.69 | $134,535.43 | $220,215.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,196.51 / $75,515.31 / $112,370.67
| Facility | | $1,196.51 | $75,515.31 | $112,370.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,415.70 / $132,915.29 / $156,208.79
| Facility | | $95,415.70 | $132,915.29 | $156,208.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86,112.64 / $141,773.57 / $178,717.13
| Facility | | $86,112.64 | $141,773.57 | $178,717.13 |