- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112,201.85 / $131,825.67 / $263,026.80
| Facility | | $112,201.85 | $131,825.67 | $263,026.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $114,815.36 / $173,780.08
| Facility | | $69,183.10 | $114,815.36 | $173,780.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,432.82 / $97,723.72 / $147,910.84
| Facility | | $79,432.82 | $97,723.72 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $93,325.43 / $97,723.72
| Facility | | $69,183.10 | $93,325.43 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,432.82 / $112,201.85 / $173,780.08
| Facility | | $79,432.82 | $112,201.85 | $173,780.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $93,325.43 / $128,824.96
| Facility | | $69,183.10 | $93,325.43 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,283.05 / $107,151.93 / $128,824.96
| Facility | | $81,283.05 | $107,151.93 | $128,824.96 |