- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $74,131.02 / $100,000.00
| Facility | | $38,904.51 | $74,131.02 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $58,884.37 / $95,499.26
| Facility | | $38,904.51 | $58,884.37 | $95,499.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,018.94 / $79,432.82 / $107,151.93
| Facility | | $38,018.94 | $79,432.82 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $54,954.09 / $107,151.93
| Facility | | $7,079.46 | $54,954.09 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $52,480.75 / $107,151.93
| Facility | | $6,760.83 | $52,480.75 | $107,151.93 |