- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $70,794.58 / $131,825.67
| Facility | | $26,915.35 | $70,794.58 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75,857.76 / $112,201.85 / $141,253.75
| Facility | | $75,857.76 | $112,201.85 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,255.96 / $95,499.26 / $123,026.88
| Facility | | $60,255.96 | $95,499.26 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $85,113.80 / $213,796.21
| Facility | | $46,773.51 | $85,113.80 | $213,796.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $72,443.60 / $117,489.76
| Facility | | $10,000.00 | $72,443.60 | $117,489.76 |