- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $60,255.96 / $100,000.00
| Facility | | $28,840.32 | $60,255.96 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $56,234.13 / $147,910.84
| Facility | | $6,165.95 | $56,234.13 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,884.42 / $57,543.99 / $87,096.36
| Facility | | $33,884.42 | $57,543.99 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83,176.38 / $83,176.38 / $83,176.38
| Facility | | $83,176.38 | $83,176.38 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $54,954.09 / $147,910.84
| Facility | | $6,165.95 | $54,954.09 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $56,234.13 / $147,910.84
| Facility | | $6,165.95 | $56,234.13 | $147,910.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $44,668.36 / $128,824.96
| Facility | | $6,165.95 | $44,668.36 | $128,824.96 |