- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112,201.85 / $181,970.09 / $239,883.29
| Facility | | $112,201.85 | $181,970.09 | $239,883.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $154,881.66 / $223,872.11 / $281,838.29
| Facility | | $154,881.66 | $223,872.11 | $281,838.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218,776.16 / $218,776.16 / $218,776.16
| Facility | | $218,776.16 | $218,776.16 | $218,776.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $120,226.44 / $177,827.94 / $239,883.29
| Facility | | $120,226.44 | $177,827.94 | $239,883.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218,776.16 / $218,776.16 / $218,776.16
| Facility | | $218,776.16 | $218,776.16 | $218,776.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100,000.00 / $154,881.66 / $251,188.64
| Facility | | $100,000.00 | $154,881.66 | $251,188.64 |