- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,794.50 / $110,521.00 / $210,659.00
| Facility | | $47,794.50 | $110,521.00 | $210,659.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,327.73 / $149,184.60 / $218,994.63
| Facility | | $104,327.73 | $149,184.60 | $218,994.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76,770.35 / $147,516.09 / $309,345.90
| Facility | | $76,770.35 | $147,516.09 | $309,345.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,270.65 / $56,270.65 / $56,270.65
| Facility | | $56,270.65 | $56,270.65 | $56,270.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $104,327.73 / $162,426.26 / $220,201.96
| Facility | | $104,327.73 | $162,426.26 | $220,201.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.00 / $137,370.94 / $235,470.73
| Facility | | $9,114.00 | $137,370.94 | $235,470.73 |