- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131,825.67 / $162,181.01 / $194,984.46
| Facility | | $131,825.67 | $162,181.01 | $194,984.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141,253.75 / $144,543.98 / $234,422.88
| Facility | | $141,253.75 | $144,543.98 | $234,422.88 |
- 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
- $125,892.54 / $165,958.69 / $257,039.58
| Facility | | $125,892.54 | $165,958.69 | $257,039.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,712.85 / $229,086.77 / $229,086.77
| Facility | | $104,712.85 | $229,086.77 | $229,086.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131,825.67 / $186,208.71 / $275,422.87
| Facility | | $131,825.67 | $186,208.71 | $275,422.87 |