- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $61,659.50 / $100,000.00
| Facility | | $17,782.79 | $61,659.50 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77,624.71 / $112,201.85 / $147,910.84
| Facility | | $77,624.71 | $112,201.85 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,131.02 / $91,201.08 / $125,892.54
| Facility | | $74,131.02 | $91,201.08 | $125,892.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $91,201.08 / $120,226.44
| Facility | | $54,954.09 | $91,201.08 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $93,325.43 / $128,824.96
| Facility | | $56,234.13 | $93,325.43 | $128,824.96 |