- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $57,543.99 / $107,151.93
| Facility | | $21,877.62 | $57,543.99 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60,255.96 / $81,283.05 / $100,000.00
| Facility | | $60,255.96 | $81,283.05 | $100,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,977.88 / $75,857.76 / $97,723.72
| Facility | | $48,977.88 | $75,857.76 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $70,794.58 / $169,824.37
| Facility | | $39,810.72 | $70,794.58 | $169,824.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25,118.86 / $25,118.86 / $25,118.86
| Facility | | $25,118.86 | $25,118.86 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $60,255.96 / $107,151.93
| Facility | | $10,000.00 | $60,255.96 | $107,151.93 |