- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $24,547.09 / $67,608.30
| Facility | | $15,848.93 | $24,547.09 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44,668.36 / $64,565.42 / $100,000.00
| Facility | | $44,668.36 | $64,565.42 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,892.96 / $33,113.11 / $43,651.58
| Facility | | $20,892.96 | $33,113.11 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97,723.72 / $97,723.72 / $97,723.72
| Facility | | $97,723.72 | $97,723.72 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $33,884.42 / $52,480.75
| Facility | | $2,951.21 | $33,884.42 | $52,480.75 |