- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $100,000.00 / $117,489.76
| Facility | | $69,183.10 | $100,000.00 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72,443.60 / $107,151.93 / $151,356.12
| Facility | | $72,443.60 | $107,151.93 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,673.69 / $87,096.36 / $138,038.43
| Facility | | $34,673.69 | $87,096.36 | $138,038.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $79,432.82 / $117,489.76
| Facility | | $20,892.96 | $79,432.82 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $70,794.58 / $151,356.12
| Facility | | $4,466.84 | $70,794.58 | $151,356.12 |