- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $85,113.80 / $131,825.67
| Facility | | $52,480.75 | $85,113.80 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,499.26 / $95,499.26 / $169,824.37
| Facility | | $95,499.26 | $95,499.26 | $169,824.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $199,526.23 / $309,029.54 / $309,029.54
| Facility | | $199,526.23 | $309,029.54 | $309,029.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $72,443.60 / $131,825.67
| Facility | | $30,902.95 | $72,443.60 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $67,608.30 / $154,881.66
| Facility | | $7,079.46 | $67,608.30 | $154,881.66 |