- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $128,824.96 / $239,883.29
| Facility | | $48,977.88 | $128,824.96 | $239,883.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $134,896.29 / $199,526.23 / $251,188.64
| Facility | | $134,896.29 | $199,526.23 | $251,188.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $109,647.82 / $169,824.37 / $218,776.16
| Facility | | $109,647.82 | $169,824.37 | $218,776.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,113.80 / $154,881.66 / $380,189.40
| Facility | | $85,113.80 | $154,881.66 | $380,189.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $128,824.96 / $208,929.61
| Facility | | $10,000.00 | $128,824.96 | $208,929.61 |