- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $79,432.82 / $131,825.67
| Facility | | $52,480.75 | $79,432.82 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $63,095.73 / $104,712.85
| Facility | | $45,708.82 | $63,095.73 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $83,176.38 / $100,000.00
| Facility | | $63,095.73 | $83,176.38 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,480.75 / $75,857.76 / $109,647.82
| Facility | | $52,480.75 | $75,857.76 | $109,647.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $75,857.76 / $107,151.93
| Facility | | $58,884.37 | $75,857.76 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $70,794.58 / $100,000.00
| Facility | | $24,547.09 | $70,794.58 | $100,000.00 |