- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73,786.20 / $116,641.00 / $189,140.00
| Facility | | $73,786.20 | $116,641.00 | $189,140.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,291.55 / $97,286.70 / $222,318.11
| Facility | | $74,291.55 | $97,286.70 | $222,318.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $83,616.91 / $159,268.68
| Facility | | $100.00 | $83,616.91 | $159,268.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,688.48 / $122,426.00 / $216,632.81
| Facility | | $79,688.48 | $122,426.00 | $216,632.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $115,418.48 / $167,593.95 / $196,685.73
| Facility | | $115,418.48 | $167,593.95 | $196,685.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,664.00 / $102,819.48 / $216,632.81
| Facility | | $72,664.00 | $102,819.48 | $216,632.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $94,788.33 / $194,057.45
| Facility | | $5,693.00 | $94,788.33 | $194,057.45 |