- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $25,118.86 / $69,183.10
| Facility | | $16,218.10 | $25,118.86 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $20,417.38 / $20,417.38
| Facility | | $20,417.38 | $20,417.38 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $35,481.34 / $56,234.13
| Facility | | $24,547.09 | $35,481.34 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $33,884.42 / $44,668.36
| Facility | | $21,379.62 | $33,884.42 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100,000.00 / $100,000.00 / $100,000.00
| Facility | | $100,000.00 | $100,000.00 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $34,673.69 / $53,703.18
| Facility | | $2,951.21 | $34,673.69 | $53,703.18 |