- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $75,857.76 / $100,000.00
| Facility | | $46,773.51 | $75,857.76 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $112,201.85 / $138,038.43
| Facility | | $75,857.76 | $112,201.85 | $138,038.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,201.08 / $91,201.08 / $91,201.08
| Facility | | $91,201.08 | $91,201.08 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $70,794.58 / $93,325.43
| Facility | | $47,863.01 | $70,794.58 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,201.08 / $91,201.08 / $91,201.08
| Facility | | $91,201.08 | $91,201.08 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $63,095.73 / $104,712.85
| Facility | | $41,686.94 | $63,095.73 | $104,712.85 |