- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $66,069.34 / $102,329.30
| Facility | | $46,773.51 | $66,069.34 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35,481.34 / $58,884.37 / $93,325.43
| Facility | | $35,481.34 | $58,884.37 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $69,183.10 / $102,329.30
| Facility | | $42,657.95 | $69,183.10 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,657.95 / $69,183.10 / $190,546.07
| Facility | | $42,657.95 | $69,183.10 | $190,546.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,542.29 / $43,651.58 / $72,443.60
| Facility | | $27,542.29 | $43,651.58 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $69,183.10 / $100,000.00
| Facility | | $10,471.29 | $69,183.10 | $100,000.00 |