- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186,208.71 / $186,208.71 / $186,208.71
| Facility | | $186,208.71 | $186,208.71 | $186,208.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134,896.29 / $239,883.29 / $416,869.38
| Facility | | $134,896.29 | $239,883.29 | $416,869.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $562,341.33 / $741,310.24 / $776,247.12
| Facility | | $562,341.33 | $741,310.24 | $776,247.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186,208.71 / $186,208.71 / $398,107.17
| Facility | | $186,208.71 | $186,208.71 | $398,107.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194,984.46 / $301,995.17 / $446,683.59
| Facility | | $194,984.46 | $301,995.17 | $446,683.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218,776.16 / $275,422.87 / $301,995.17
| Facility | | $218,776.16 | $275,422.87 | $301,995.17 |