- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $77,624.71 / $138,038.43
| Facility | | $30,199.52 | $77,624.71 | $138,038.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79,432.82 / $114,815.36 / $144,543.98
| Facility | | $79,432.82 | $114,815.36 | $144,543.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $100,000.00 / $128,824.96
| Facility | | $63,095.73 | $100,000.00 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $91,201.08 / $223,872.11
| Facility | | $51,286.14 | $91,201.08 | $223,872.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $38,018.94 / $38,018.94
| Facility | | $38,018.94 | $38,018.94 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $75,857.76 / $123,026.88
| Facility | | $10,000.00 | $75,857.76 | $123,026.88 |