- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123,026.88 / $239,883.29 / $281,838.29
| Facility | | $123,026.88 | $239,883.29 | $281,838.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $257,039.58 / $371,535.23
| Facility | | $151,356.12 | $257,039.58 | $371,535.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $208,929.61 / $338,844.16
| Facility | | $34,673.69 | $208,929.61 | $338,844.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $162,181.01 / $281,838.29
| Facility | | $51,286.14 | $162,181.01 | $281,838.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $245,470.89 / $371,535.23
| Facility | | $4,073.80 | $245,470.89 | $371,535.23 |