- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100,000.00 / $128,824.96 / $147,910.84
| Facility | | $100,000.00 | $128,824.96 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $54,954.09 / $54,954.09
| Facility | | $54,954.09 | $54,954.09 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102,329.30 / $120,226.44 / $147,910.84
| Facility | | $102,329.30 | $120,226.44 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,201.08 / $144,543.98 / $181,970.09
| Facility | | $91,201.08 | $144,543.98 | $181,970.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $63,095.73 / $63,095.73
| Facility | | $63,095.73 | $63,095.73 | $63,095.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,862.09 / $144,543.98 / $186,208.71
| Facility | | $1,862.09 | $144,543.98 | $186,208.71 |