- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $52,480.75 / $141,253.75
| Facility | | $33,884.42 | $52,480.75 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $100,000.00 / $158,489.32
| Facility | | $69,183.10 | $100,000.00 | $158,489.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $69,183.10 / $91,201.08
| Facility | | $44,668.36 | $69,183.10 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $204,173.79 / $204,173.79 / $204,173.79
| Facility | | $204,173.79 | $204,173.79 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $74,131.02 / $109,647.82
| Facility | | $3,801.89 | $74,131.02 | $109,647.82 |