- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $77,624.71 / $162,181.01
| Facility | | $30,199.52 | $77,624.71 | $162,181.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $107,151.93 / $208,929.61
| Facility | | $9,549.93 | $107,151.93 | $208,929.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,131.02 / $107,151.93 / $151,356.12
| Facility | | $74,131.02 | $107,151.93 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $89,125.09 / $263,026.80
| Facility | | $16,595.87 | $89,125.09 | $263,026.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $74,131.02 / $141,253.75
| Facility | | $10,000.00 | $74,131.02 | $141,253.75 |