- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112,201.85 / $131,825.67 / $169,824.37
| Facility | | $112,201.85 | $131,825.67 | $169,824.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57,543.99 / $138,038.43 / $239,883.29
| Facility | | $57,543.99 | $138,038.43 | $239,883.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $177,827.94 / $177,827.94 / $177,827.94
| Facility | | $177,827.94 | $177,827.94 | $177,827.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,443.60 / $151,356.12 / $239,883.29
| Facility | | $72,443.60 | $151,356.12 | $239,883.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,113.80 / $134,896.29 / $199,526.23
| Facility | | $85,113.80 | $134,896.29 | $199,526.23 |