- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109,647.82 / $147,910.84 / $208,929.61
| Facility | | $109,647.82 | $147,910.84 | $208,929.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $138,038.43 / $173,780.08
| Facility | | $75,857.76 | $138,038.43 | $173,780.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,201.08 / $141,253.75 / $169,824.37
| Facility | | $91,201.08 | $141,253.75 | $169,824.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,113.80 / $85,113.80 / $85,113.80
| Facility | | $85,113.80 | $85,113.80 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $138,038.43 / $177,827.94
| Facility | | $10,964.78 | $138,038.43 | $177,827.94 |