- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $138,038.43 / $257,039.58
| Facility | | $75,857.76 | $138,038.43 | $257,039.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $147,910.84 / $251,188.64
| Facility | | $10,232.93 | $147,910.84 | $251,188.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $85,113.80 / $213,796.21
| Facility | | $100.00 | $85,113.80 | $213,796.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $213,796.21 / $213,796.21 / $213,796.21
| Facility | | $213,796.21 | $213,796.21 | $213,796.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $114,815.36 / $234,422.88
| Facility | | $5,754.40 | $114,815.36 | $234,422.88 |