- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $66,069.34 / $123,026.88
| Facility | | $25,118.86 | $66,069.34 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,255.96 / $102,329.30 / $128,824.96
| Facility | | $60,255.96 | $102,329.30 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $89,125.09 / $114,815.36
| Facility | | $56,234.13 | $89,125.09 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $81,283.05 / $199,526.23
| Facility | | $45,708.82 | $81,283.05 | $199,526.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $72,443.60 / $131,825.67
| Facility | | $10,000.00 | $72,443.60 | $131,825.67 |