- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $117,489.76 / $218,776.16
| Facility | | $44,668.36 | $117,489.76 | $218,776.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100,000.00 / $154,881.66 / $199,526.23
| Facility | | $100,000.00 | $154,881.66 | $199,526.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,624.71 / $138,038.43 / $346,736.85
| Facility | | $77,624.71 | $138,038.43 | $346,736.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $51,286.14 / $51,286.14
| Facility | | $51,286.14 | $51,286.14 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $117,489.76 / $194,984.46
| Facility | | $10,000.00 | $117,489.76 | $194,984.46 |