- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $97,723.72 / $186,208.71
| Facility | | $54,954.09 | $97,723.72 | $186,208.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $104,712.85 / $177,827.94
| Facility | | $10,232.93 | $104,712.85 | $177,827.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $63,095.73 / $151,356.12
| Facility | | $100.00 | $63,095.73 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $83,176.38 / $151,356.12
| Facility | | $54,954.09 | $83,176.38 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $87,096.36 / $169,824.37
| Facility | | $58,884.37 | $87,096.36 | $169,824.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $83,176.38 / $165,958.69
| Facility | | $5,754.40 | $83,176.38 | $165,958.69 |