- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109,647.82 / $138,038.43 / $186,208.71
| Facility | | $109,647.82 | $138,038.43 | $186,208.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,201.08 / $125,892.54 / $154,881.66
| Facility | | $91,201.08 | $125,892.54 | $154,881.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87,096.36 / $125,892.54 / $154,881.66
| Facility | | $87,096.36 | $125,892.54 | $154,881.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,443.60 / $72,443.60 / $72,443.60
| Facility | | $72,443.60 | $72,443.60 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $123,026.88 / $151,356.12
| Facility | | $10,964.78 | $123,026.88 | $151,356.12 |