- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $64,565.42 / $120,226.44
| Facility | | $24,547.09 | $64,565.42 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67,608.30 / $102,329.30 / $128,824.96
| Facility | | $67,608.30 | $102,329.30 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $87,096.36 / $112,201.85
| Facility | | $54,954.09 | $87,096.36 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $79,432.82 / $194,984.46
| Facility | | $44,668.36 | $79,432.82 | $194,984.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $66,069.34 / $107,151.93
| Facility | | $10,000.00 | $66,069.34 | $107,151.93 |