- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $48,977.88 / $79,432.82
| Facility | | $17,782.79 | $48,977.88 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,659.50 / $89,125.09 / $117,489.76
| Facility | | $61,659.50 | $89,125.09 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $72,443.60 / $100,000.00
| Facility | | $58,884.37 | $72,443.60 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $72,443.60 / $95,499.26
| Facility | | $43,651.58 | $72,443.60 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $74,131.02 / $100,000.00
| Facility | | $44,668.36 | $74,131.02 | $100,000.00 |