- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $51,286.14 / $95,499.26
| Facility | | $19,498.45 | $51,286.14 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53,703.18 / $79,432.82 / $100,000.00
| Facility | | $53,703.18 | $79,432.82 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,651.58 / $67,608.30 / $87,096.36
| Facility | | $43,651.58 | $67,608.30 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $60,255.96 / $151,356.12
| Facility | | $32,359.37 | $60,255.96 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $51,286.14 / $83,176.38
| Facility | | $10,000.00 | $51,286.14 | $83,176.38 |