- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123,026.88 / $123,026.88 / $123,026.88
| Facility | | $123,026.88 | $123,026.88 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107,151.93 / $177,827.94 / $309,029.54
| Facility | | $107,151.93 | $177,827.94 | $309,029.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363,078.05 / $489,778.82 / $501,187.23
| Facility | | $363,078.05 | $489,778.82 | $501,187.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123,026.88 / $123,026.88 / $245,470.89
| Facility | | $123,026.88 | $123,026.88 | $245,470.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134,896.29 / $199,526.23 / $309,029.54
| Facility | | $134,896.29 | $199,526.23 | $309,029.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141,253.75 / $181,970.09 / $194,984.46
| Facility | | $141,253.75 | $181,970.09 | $194,984.46 |