- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $91,201.08 / $169,824.37
| Facility | | $34,673.69 | $91,201.08 | $169,824.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97,723.72 / $144,543.98 / $181,970.09
| Facility | | $97,723.72 | $144,543.98 | $181,970.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,624.71 / $123,026.88 / $158,489.32
| Facility | | $77,624.71 | $123,026.88 | $158,489.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,255.96 / $109,647.82 / $275,422.87
| Facility | | $60,255.96 | $109,647.82 | $275,422.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $93,325.43 / $151,356.12
| Facility | | $10,000.00 | $93,325.43 | $151,356.12 |