- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $115,471.00 / $188,584.00
| Facility | | $6,303.00 | $115,471.00 | $188,584.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $148,604.76 / $209,754.45 / $281,445.20
| Facility | | $148,604.76 | $209,754.45 | $281,445.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124,955.76 / $171,597.45 / $240,551.45
| Facility | | $124,955.76 | $171,597.45 | $240,551.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108,785.28 / $190,578.21 / $240,256.82
| Facility | | $108,785.28 | $190,578.21 | $240,256.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108,785.28 / $192,164.66 / $251,985.24
| Facility | | $108,785.28 | $192,164.66 | $251,985.24 |