- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117,489.76 / $117,489.76 / $117,489.76
| Facility | | $117,489.76 | $117,489.76 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,283.05 / $123,026.88 / $190,546.07
| Facility | | $81,283.05 | $123,026.88 | $190,546.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $100,000.00 / $162,181.01
| Facility | | $30,902.95 | $100,000.00 | $162,181.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,131.02 / $144,543.98 / $151,356.12
| Facility | | $74,131.02 | $144,543.98 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93,325.43 / $93,325.43 / $165,958.69
| Facility | | $93,325.43 | $93,325.43 | $165,958.69 |