- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123,026.88 / $144,543.98 / $295,120.92
| Facility | | $123,026.88 | $144,543.98 | $295,120.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,624.71 / $128,824.96 / $204,173.79
| Facility | | $77,624.71 | $128,824.96 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89,125.09 / $112,201.85 / $162,181.01
| Facility | | $89,125.09 | $112,201.85 | $162,181.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,176.38 / $100,000.00 / $100,000.00
| Facility | | $83,176.38 | $100,000.00 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,201.08 / $131,825.67 / $204,173.79
| Facility | | $91,201.08 | $131,825.67 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89,125.09 / $112,201.85 / $158,489.32
| Facility | | $89,125.09 | $112,201.85 | $158,489.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,201.08 / $117,489.76 / $144,543.98
| Facility | | $91,201.08 | $117,489.76 | $144,543.98 |