- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $125,892.54 / $229,086.77
| Facility | | $42,657.95 | $125,892.54 | $229,086.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131,825.67 / $199,526.23 / $407,380.28
| Facility | | $131,825.67 | $199,526.23 | $407,380.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,113.80 / $144,543.98 / $371,535.23
| Facility | | $85,113.80 | $144,543.98 | $371,535.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $97,723.72 / $199,526.23
| Facility | | $8,317.64 | $97,723.72 | $199,526.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100,000.00 / $100,000.00 / $100,000.00
| Facility | | $100,000.00 | $100,000.00 | $100,000.00 |