- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,096.36 / $173,780.08 / $204,173.79
| Facility | | $87,096.36 | $173,780.08 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128,824.96 / $190,546.07 / $301,995.17
| Facility | | $128,824.96 | $190,546.07 | $301,995.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $154,881.66 / $251,188.64
| Facility | | $34,673.69 | $154,881.66 | $251,188.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107,151.93 / $158,489.32 / $204,173.79
| Facility | | $107,151.93 | $158,489.32 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $100,000.00 / $263,026.80
| Facility | | $4,466.84 | $100,000.00 | $263,026.80 |