- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,131.02 / $165,958.69 / $257,039.58
| Facility | | $74,131.02 | $165,958.69 | $257,039.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $141,253.75 / $380,189.40
| Facility | | $6,165.95 | $141,253.75 | $380,189.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,096.36 / $158,489.32 / $223,872.11
| Facility | | $87,096.36 | $158,489.32 | $223,872.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218,776.16 / $218,776.16 / $218,776.16
| Facility | | $218,776.16 | $218,776.16 | $218,776.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $141,253.75 / $380,189.40
| Facility | | $6,165.95 | $141,253.75 | $380,189.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $141,253.75 / $380,189.40
| Facility | | $6,165.95 | $141,253.75 | $380,189.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $117,489.76 / $331,131.12
| Facility | | $6,165.95 | $117,489.76 | $331,131.12 |