- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199,526.23 / $199,526.23 / $199,526.23
| Facility | | $199,526.23 | $199,526.23 | $199,526.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $181,970.09 / $257,039.58 / $346,736.85
| Facility | | $181,970.09 | $257,039.58 | $346,736.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97,723.72 / $181,970.09 / $239,883.29
| Facility | | $97,723.72 | $181,970.09 | $239,883.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,176.38 / $100,000.00 / $194,984.46
| Facility | | $83,176.38 | $100,000.00 | $194,984.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $229,086.77 / $229,086.77 / $457,088.19
| Facility | | $229,086.77 | $229,086.77 | $457,088.19 |