- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107,151.93 / $186,208.71 / $245,470.89
| Facility | | $107,151.93 | $186,208.71 | $245,470.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $33,884.42 / $33,884.42
| Facility | | $33,884.42 | $33,884.42 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,201.08 / $186,208.71 / $239,883.29
| Facility | | $91,201.08 | $186,208.71 | $239,883.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,712.85 / $169,824.37 / $251,188.64
| Facility | | $104,712.85 | $169,824.37 | $251,188.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $21,379.62 / $213,796.21
| Facility | | $6,165.95 | $21,379.62 | $213,796.21 |