- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,608.30 / $109,647.82 / $165,958.69
| Facility | | $67,608.30 | $109,647.82 | $165,958.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $95,499.26 / $147,910.84
| Facility | | $52,480.75 | $95,499.26 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $257,039.58 / $295,120.92 / $295,120.92
| Facility | | $257,039.58 | $295,120.92 | $295,120.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $93,325.43 / $165,958.69
| Facility | | $39,810.72 | $93,325.43 | $165,958.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $87,096.36 / $194,984.46
| Facility | | $7,079.46 | $87,096.36 | $194,984.46 |