- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,782.79 / $46,773.51 / $87,096.36
| Facility | | $17,782.79 | $46,773.51 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,118.72 / $72,443.60 / $91,201.08
| Facility | | $50,118.72 | $72,443.60 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $61,659.50 / $79,432.82
| Facility | | $39,810.72 | $61,659.50 | $79,432.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $54,954.09 / $138,038.43
| Facility | | $30,902.95 | $54,954.09 | $138,038.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $46,773.51 / $75,857.76
| Facility | | $10,000.00 | $46,773.51 | $75,857.76 |