- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $81,283.05 / $151,356.12
| Facility | | $30,902.95 | $81,283.05 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,565.42 / $114,815.36 / $162,181.01
| Facility | | $64,565.42 | $114,815.36 | $162,181.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $109,647.82 / $141,253.75
| Facility | | $69,183.10 | $109,647.82 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $97,723.72 / $245,470.89
| Facility | | $56,234.13 | $97,723.72 | $245,470.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $35,481.34 / $35,481.34
| Facility | | $35,481.34 | $35,481.34 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $83,176.38 / $134,896.29
| Facility | | $10,000.00 | $83,176.38 | $134,896.29 |