- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109,647.82 / $131,825.67 / $158,489.32
| Facility | | $109,647.82 | $131,825.67 | $158,489.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,712.85 / $134,896.29 / $208,929.61
| Facility | | $104,712.85 | $134,896.29 | $208,929.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,176.38 / $190,546.07 / $190,546.07
| Facility | | $83,176.38 | $190,546.07 | $190,546.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109,647.82 / $151,356.12 / $223,872.11
| Facility | | $109,647.82 | $151,356.12 | $223,872.11 |