- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $123,026.88 / $199,526.23
| Facility | | $17,782.79 | $123,026.88 | $199,526.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154,881.66 / $218,776.16 / $295,120.92
| Facility | | $154,881.66 | $218,776.16 | $295,120.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147,910.84 / $177,827.94 / $251,188.64
| Facility | | $147,910.84 | $177,827.94 | $251,188.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109,647.82 / $177,827.94 / $239,883.29
| Facility | | $109,647.82 | $177,827.94 | $239,883.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112,201.85 / $181,970.09 / $251,188.64
| Facility | | $112,201.85 | $181,970.09 | $251,188.64 |