- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $93,325.43 / $190,546.07
| Facility | | $47,863.01 | $93,325.43 | $190,546.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $147,910.84 / $199,526.23
| Facility | | $46,773.51 | $147,910.84 | $199,526.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $95,499.26 / $208,929.61
| Facility | | $100.00 | $95,499.26 | $208,929.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $100,000.00 / $204,173.79
| Facility | | $54,954.09 | $100,000.00 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $208,929.61 / $208,929.61 / $208,929.61
| Facility | | $208,929.61 | $208,929.61 | $208,929.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $102,329.30 / $208,929.61
| Facility | | $54,954.09 | $102,329.30 | $208,929.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107,151.93 / $107,151.93 / $107,151.93
| Facility | | $107,151.93 | $107,151.93 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $75,857.76 / $181,970.09
| Facility | | $8,317.64 | $75,857.76 | $181,970.09 |