- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,307.81 / $97,723.72 / $177,827.94
| Facility | | $36,307.81 | $97,723.72 | $177,827.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95,499.26 / $134,896.29 / $186,208.71
| Facility | | $95,499.26 | $134,896.29 | $186,208.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81,283.05 / $125,892.54 / $162,181.01
| Facility | | $81,283.05 | $125,892.54 | $162,181.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,565.42 / $109,647.82 / $281,838.29
| Facility | | $64,565.42 | $109,647.82 | $281,838.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $40,738.03 / $42,657.95
| Facility | | $40,738.03 | $40,738.03 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $95,499.26 / $154,881.66
| Facility | | $10,000.00 | $95,499.26 | $154,881.66 |