- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114,815.36 / $141,253.75 / $169,824.37
| Facility | | $114,815.36 | $141,253.75 | $169,824.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109,647.82 / $141,253.75 / $223,872.11
| Facility | | $109,647.82 | $141,253.75 | $223,872.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97,723.72 / $181,970.09 / $181,970.09
| Facility | | $97,723.72 | $181,970.09 | $181,970.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114,815.36 / $158,489.32 / $239,883.29
| Facility | | $114,815.36 | $158,489.32 | $239,883.29 |