- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114,815.36 / $138,038.43 / $141,253.75
| Facility | | $114,815.36 | $138,038.43 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,113.80 / $147,910.84 / $213,796.21
| Facility | | $85,113.80 | $147,910.84 | $213,796.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89,125.09 / $120,226.44 / $213,796.21
| Facility | | $89,125.09 | $120,226.44 | $213,796.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100,000.00 / $114,815.36 / $147,910.84
| Facility | | $100,000.00 | $114,815.36 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,113.80 / $134,896.29 / $223,872.11
| Facility | | $85,113.80 | $134,896.29 | $223,872.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.24 / $87,096.36 / $114,815.36
| Facility | | $977.24 | $87,096.36 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125,892.54 / $158,489.32 / $162,181.01
| Facility | | $125,892.54 | $158,489.32 | $162,181.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,096.36 / $144,543.98 / $199,526.23
| Facility | | $87,096.36 | $144,543.98 | $199,526.23 |