- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $69,183.10 / $128,824.96
| Facility | | $26,302.68 | $69,183.10 | $128,824.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56,234.13 / $95,499.26 / $120,226.44
| Facility | | $56,234.13 | $95,499.26 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,884.37 / $91,201.08 / $117,489.76
| Facility | | $58,884.37 | $91,201.08 | $117,489.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45,708.82 / $81,283.05 / $204,173.79
| Facility | | $45,708.82 | $81,283.05 | $204,173.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $28,840.32 / $28,840.32
| Facility | | $28,840.32 | $28,840.32 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $69,183.10 / $117,489.76
| Facility | | $10,000.00 | $69,183.10 | $117,489.76 |