- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $95,499.26 / $177,827.94
| Facility | | $36,307.81 | $95,499.26 | $177,827.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102,329.30 / $151,356.12 / $186,208.71
| Facility | | $102,329.30 | $151,356.12 | $186,208.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,283.05 / $128,824.96 / $165,958.69
| Facility | | $81,283.05 | $128,824.96 | $165,958.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $112,201.85 / $288,403.15
| Facility | | $63,095.73 | $112,201.85 | $288,403.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $97,723.72 / $158,489.32
| Facility | | $10,000.00 | $97,723.72 | $158,489.32 |