- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $117,489.76 / $141,253.75 / $144,543.98
| Facility | | $117,489.76 | $141,253.75 | $144,543.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,096.36 / $151,356.12 / $218,776.16
| Facility | | $87,096.36 | $151,356.12 | $218,776.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,201.08 / $123,026.88 / $218,776.16
| Facility | | $91,201.08 | $123,026.88 | $218,776.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102,329.30 / $117,489.76 / $151,356.12
| Facility | | $102,329.30 | $117,489.76 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,096.36 / $138,038.43 / $229,086.77
| Facility | | $87,096.36 | $138,038.43 | $229,086.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $89,125.09 / $117,489.76
| Facility | | $1,000.00 | $89,125.09 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128,824.96 / $162,181.01 / $165,958.69
| Facility | | $128,824.96 | $162,181.01 | $165,958.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89,125.09 / $147,910.84 / $204,173.79
| Facility | | $89,125.09 | $147,910.84 | $204,173.79 |