- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $125,892.54 / $239,883.29
| Facility | | $70,794.58 | $125,892.54 | $239,883.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $134,896.29 / $229,086.77
| Facility | | $10,232.93 | $134,896.29 | $229,086.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $83,176.38 / $194,984.46
| Facility | | $100.00 | $83,176.38 | $194,984.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70,794.58 / $109,647.82 / $194,984.46
| Facility | | $70,794.58 | $109,647.82 | $194,984.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194,984.46 / $194,984.46 / $194,984.46
| Facility | | $194,984.46 | $194,984.46 | $194,984.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $114,815.36 / $218,776.16
| Facility | | $75,857.76 | $114,815.36 | $218,776.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $107,151.93 / $218,776.16
| Facility | | $5,754.40 | $107,151.93 | $218,776.16 |