- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $109,647.82 / $204,173.79
| Facility | | $41,686.94 | $109,647.82 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114,815.36 / $169,824.37 / $213,796.21
| Facility | | $114,815.36 | $169,824.37 | $213,796.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93,325.43 / $144,543.98 / $186,208.71
| Facility | | $93,325.43 | $144,543.98 | $186,208.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,443.60 / $128,824.96 / $323,593.66
| Facility | | $72,443.60 | $128,824.96 | $323,593.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $109,647.82 / $181,970.09
| Facility | | $10,000.00 | $109,647.82 | $181,970.09 |