- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $112,201.85 / $204,173.79
| Facility | | $41,686.94 | $112,201.85 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89,125.09 / $158,489.32 / $218,776.16
| Facility | | $89,125.09 | $158,489.32 | $218,776.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93,325.43 / $147,910.84 / $190,546.07
| Facility | | $93,325.43 | $147,910.84 | $190,546.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $131,825.67 / $331,131.12
| Facility | | $75,857.76 | $131,825.67 | $331,131.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $120,226.44 / $213,796.21
| Facility | | $10,000.00 | $120,226.44 | $213,796.21 |