- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $607,193.00 / $607,193.00 / $607,193.00
| Facility | | $607,193.00 | $607,193.00 | $607,193.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466,719.70 / $483,172.35 / $483,172.35
| Facility | | $466,719.70 | $483,172.35 | $483,172.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $285,006.48 / $401,600.04 / $644,059.19
| Facility | | $285,006.48 | $401,600.04 | $644,059.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,450.00 / $1,450.00 / $1,450.00
| Facility | | $1,450.00 | $1,450.00 | $1,450.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $285,006.48 / $401,600.04 / $737,475.86
| Facility | | $285,006.48 | $401,600.04 | $737,475.86 |