- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $63,095.73 / $75,857.76
| Facility | | $52,480.75 | $63,095.73 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $64,565.42 / $100,000.00
| Facility | | $50,118.72 | $64,565.42 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $97,723.72 / $97,723.72
| Facility | | $44,668.36 | $97,723.72 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $72,443.60 / $107,151.93
| Facility | | $52,480.75 | $72,443.60 | $107,151.93 |