- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,113.11 / $87,096.36 / $162,181.01
| Facility | | $33,113.11 | $87,096.36 | $162,181.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91,201.08 / $138,038.43 / $169,824.37
| Facility | | $91,201.08 | $138,038.43 | $169,824.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,131.02 / $117,489.76 / $151,356.12
| Facility | | $74,131.02 | $117,489.76 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,255.96 / $102,329.30 / $257,039.58
| Facility | | $60,255.96 | $102,329.30 | $257,039.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38,904.51 / $38,904.51 / $38,904.51
| Facility | | $38,904.51 | $38,904.51 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $95,499.26 / $186,208.71
| Facility | | $10,000.00 | $95,499.26 | $186,208.71 |