- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $60,255.96 / $112,201.85
| Facility | | $22,908.68 | $60,255.96 | $112,201.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,565.42 / $95,499.26 / $120,226.44
| Facility | | $64,565.42 | $95,499.26 | $120,226.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $81,283.05 / $104,712.85
| Facility | | $51,286.14 | $81,283.05 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $72,443.60 / $181,970.09
| Facility | | $39,810.72 | $72,443.60 | $181,970.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $61,659.50 / $100,000.00
| Facility | | $10,000.00 | $61,659.50 | $100,000.00 |