- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,840.32 / $56,234.13 / $100,000.00
| Facility | | $28,840.32 | $56,234.13 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $75,857.76 / $100,000.00
| Facility | | $15,488.17 | $75,857.76 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $51,286.14 / $104,712.85
| Facility | | $100.00 | $51,286.14 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,302.68 / $47,863.01 / $104,712.85
| Facility | | $26,302.68 | $47,863.01 | $104,712.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97,723.72 / $97,723.72 / $97,723.72
| Facility | | $97,723.72 | $97,723.72 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $53,703.18 / $107,151.93
| Facility | | $29,512.09 | $53,703.18 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,255.96 / $60,255.96 / $60,255.96
| Facility | | $60,255.96 | $60,255.96 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $41,686.94 / $93,325.43
| Facility | | $8,511.38 | $41,686.94 | $93,325.43 |