- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69,183.10 / $100,000.00 / $223,872.11
| Facility | | $69,183.10 | $100,000.00 | $223,872.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32,359.37 / $32,359.37 / $32,359.37
| Facility | | $32,359.37 | $32,359.37 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,902.95 / $85,113.80 / $144,543.98
| Facility | | $30,902.95 | $85,113.80 | $144,543.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $100,000.00 / $141,253.75
| Facility | | $22,908.68 | $100,000.00 | $141,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $147,910.84 / $234,422.88
| Facility | | $15,848.93 | $147,910.84 | $234,422.88 |