- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $125,892.54 / $239,883.29
| Facility | | $70,794.58 | $125,892.54 | $239,883.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $134,896.29 / $229,086.77
| Facility | | $10,232.93 | $134,896.29 | $229,086.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $70,794.58 / $213,796.21
| Facility | | $100.00 | $70,794.58 | $213,796.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194,984.46 / $194,984.46 / $194,984.46
| Facility | | $194,984.46 | $194,984.46 | $194,984.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $107,151.93 / $213,796.21
| Facility | | $5,754.40 | $107,151.93 | $213,796.21 |