- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,443.60 / $104,712.85 / $239,883.29
| Facility | | $72,443.60 | $104,712.85 | $239,883.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,255.96 / $60,255.96 / $60,255.96
| Facility | | $60,255.96 | $60,255.96 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,255.96 / $89,125.09 / $162,181.01
| Facility | | $60,255.96 | $89,125.09 | $162,181.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $104,712.85 / $177,827.94
| Facility | | $20,417.38 | $104,712.85 | $177,827.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $141,253.75 / $245,470.89
| Facility | | $43,651.58 | $141,253.75 | $245,470.89 |