- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46,773.51 / $74,131.02 / $100,000.00
| Facility | | $46,773.51 | $74,131.02 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,131.02 / $107,151.93 / $134,896.29
| Facility | | $74,131.02 | $107,151.93 | $134,896.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89,125.09 / $89,125.09 / $89,125.09
| Facility | | $89,125.09 | $89,125.09 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47,863.01 / $70,794.58 / $93,325.43
| Facility | | $47,863.01 | $70,794.58 | $93,325.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89,125.09 / $89,125.09 / $89,125.09
| Facility | | $89,125.09 | $89,125.09 | $89,125.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,686.94 / $63,095.73 / $102,329.30
| Facility | | $41,686.94 | $63,095.73 | $102,329.30 |