- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $44,668.36 / $83,176.38
| Facility | | $16,595.87 | $44,668.36 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $69,183.10 / $87,096.36
| Facility | | $46,773.51 | $69,183.10 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,153.52 / $58,884.37 / $75,857.76
| Facility | | $37,153.52 | $58,884.37 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $52,480.75 / $131,825.67
| Facility | | $29,512.09 | $52,480.75 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $21,379.62 / $21,877.62
| Facility | | $21,379.62 | $21,379.62 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $44,668.36 / $72,443.60
| Facility | | $10,000.00 | $44,668.36 | $72,443.60 |