- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $39,810.72 / $64,565.42
| Facility | | $28,183.83 | $39,810.72 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $29,512.09 / $29,512.09
| Facility | | $29,512.09 | $29,512.09 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $29,512.09 / $50,118.72
| Facility | | $14,791.08 | $29,512.09 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $40,738.03 / $75,857.76
| Facility | | $24,547.09 | $40,738.03 | $75,857.76 |
- 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
- $15,135.61 / $38,904.51 / $64,565.42
| Facility | | $15,135.61 | $38,904.51 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,547.09 / $34,673.69 / $83,176.38
| Facility | | $24,547.09 | $34,673.69 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $33,113.11 / $75,857.76
| Facility | | $10,715.19 | $33,113.11 | $75,857.76 |