- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $114,815.36 / $213,796.21
| Facility | | $43,651.58 | $114,815.36 | $213,796.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93,325.43 / $177,827.94 / $223,872.11
| Facility | | $93,325.43 | $177,827.94 | $223,872.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97,723.72 / $151,356.12 / $194,984.46
| Facility | | $97,723.72 | $151,356.12 | $194,984.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $134,896.29 / $338,844.16
| Facility | | $75,857.76 | $134,896.29 | $338,844.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $114,815.36 / $186,208.71
| Facility | | $10,000.00 | $114,815.36 | $186,208.71 |