- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $28,183.83 / $28,183.83
| Facility | | $28,183.83 | $28,183.83 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $70,794.58 / $112,201.85
| Facility | | $35,481.34 | $70,794.58 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85,113.80 / $112,201.85 / $117,489.76
| Facility | | $85,113.80 | $112,201.85 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $28,183.83 / $100,000.00
| Facility | | $28,183.83 | $28,183.83 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $52,480.75 / $81,283.05
| Facility | | $39,810.72 | $52,480.75 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $41,686.94 / $44,668.36
| Facility | | $32,359.37 | $41,686.94 | $44,668.36 |